{
  "hospital_name": "Northern Idaho Advanced Care Hospital",
  "last_updated_on": "2026-03-23",
  "version": "3.0.0",
  "location_name": [
    "Northern Idaho Advanced Care Hospital",
    "Northern Idaho Advanced Care Hospital - IRU"
  ],
  "hospital_address": [
    "600 N Cecil Rd, Post Falls, ID 83854",
    "600 North Cecil, Post Falls, ID 83854"
  ],
  "license_information": {
    "state": "ID"
  },
  "type_2_npi": [
    "1023079092",
    "1871315796"
  ],
  "attestation": {
    "attestation": "To the best of its knowledge and belief, this hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded is true, accurate, and complete as of the date in the file. This hospital has included all payer-specific negotiated charges in dollars that can be expressed as a dollar amount. For payer-specific negotiated charges that cannot be expressed as a dollar amount in the machine-readable file or not knowable in advance, the hospital attests that the payer-specific negotiated charge is based on a contractual algorithm, percentage or formula that precludes the provision of a dollar amount and has provided all necessary information available to the hospital for the public to be able to derive the dollar amount, including, but not limited to, the specific fee schedule or components referenced in such percentage, algorithm or formula.",
    "confirm_attestation": true,
    "attester_name": "Julie Cuppett"
  },
  "standard_charge_information": [
    {
      "description": "NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY",
      "code_information": [
        {
          "code": "607",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY",
      "code_information": [
        {
          "code": "607",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY",
      "code_information": [
        {
          "code": "607",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY",
      "code_information": [
        {
          "code": "607",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION",
      "code_information": [
        {
          "code": "608",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION",
      "code_information": [
        {
          "code": "608",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION",
      "code_information": [
        {
          "code": "608",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION",
      "code_information": [
        {
          "code": "608",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE",
      "code_information": [
        {
          "code": "609",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE",
      "code_information": [
        {
          "code": "609",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE",
      "code_information": [
        {
          "code": "609",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE",
      "code_information": [
        {
          "code": "609",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY",
      "code_information": [
        {
          "code": "611",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY",
      "code_information": [
        {
          "code": "611",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY",
      "code_information": [
        {
          "code": "611",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY",
      "code_information": [
        {
          "code": "611",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION",
      "code_information": [
        {
          "code": "612",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Renal Failure with MCC*",
      "code_information": [
        {
          "code": "682",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Renal Failure with CC*",
      "code_information": [
        {
          "code": "683",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Renal Failure without CC/MCC*",
      "code_information": [
        {
          "code": "684",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Kidney and Urinary Tract Neoplasms with MCC",
      "code_information": [
        {
          "code": "686",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Kidney and Urinary Tract Neoplasms with CC",
      "code_information": [
        {
          "code": "687",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Kidney and Urinary Tract Neoplasms without CC/MCC",
      "code_information": [
        {
          "code": "688",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Kidney and Urinary Tract Infections with MCC",
      "code_information": [
        {
          "code": "689",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Kidney and Urinary Tract Infections without MCC",
      "code_information": [
        {
          "code": "690",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Urinary Stones with MCC",
      "code_information": [
        {
          "code": "693",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Urinary Stones without MCC",
      "code_information": [
        {
          "code": "694",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Kidney and Urinary Tract Signs and Symptoms with MCC",
      "code_information": [
        {
          "code": "695",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Kidney and Urinary Tract Signs and Symptoms without MCC",
      "code_information": [
        {
          "code": "696",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Urethral Stricture",
      "code_information": [
        {
          "code": "697",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Kidney and Urinary Tract Diagnoses with MCC",
      "code_information": [
        {
          "code": "698",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Kidney and Urinary Tract Diagnoses with CC",
      "code_information": [
        {
          "code": "699",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Kidney and Urinary Tract Diagnoses without CC/MCC",
      "code_information": [
        {
          "code": "700",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION",
      "code_information": [
        {
          "code": "612",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION",
      "code_information": [
        {
          "code": "612",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION",
      "code_information": [
        {
          "code": "612",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION",
      "code_information": [
        {
          "code": "613",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION",
      "code_information": [
        {
          "code": "613",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Room & Board - Private (One Bed) - General Classification",
      "code_information": [
        {
          "code": "0110",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Coventry Health Care",
              "plan_name": "Auto Medical",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Coventry Health Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 95,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Qualified Employer Plan",
              "standard_charge_dollar": 1350,
              "methodology": "per diem",
              "median_amount": 1350,
              "10th_percentile": 1350,
              "90th_percentile": 1350,
              "count": "1 through 10"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Qualified Health Plan (ACA)",
              "standard_charge_dollar": 1350,
              "methodology": "per diem",
              "median_amount": 1350,
              "10th_percentile": 1350,
              "90th_percentile": 1350,
              "count": "1 through 10"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Managed-Care POS",
              "standard_charge_dollar": 1500,
              "methodology": "per diem",
              "median_amount": 1500,
              "10th_percentile": 1500,
              "90th_percentile": 1500,
              "count": "1 through 10"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "PPO",
              "standard_charge_dollar": 1500,
              "methodology": "per diem",
              "median_amount": 1500,
              "10th_percentile": 1500,
              "90th_percentile": 1500,
              "count": "1 through 10"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Traditional",
              "standard_charge_dollar": 1500,
              "methodology": "per diem",
              "median_amount": 1500,
              "10th_percentile": 1500,
              "90th_percentile": 1500,
              "count": "1 through 10"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Duals",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Paradigm Specialty Networks fka AdvaNet",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Paradigm Specialty Networks fka AdvaNet",
              "plan_name": "Other Long-term Care Products",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Paradigm Specialty Networks fka AdvaNet",
              "plan_name": "No Fault",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Paradigm Specialty Networks fka AdvaNet",
              "plan_name": "Liability",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Paradigm Specialty Networks fka AdvaNet",
              "plan_name": "Auto Liability",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_dollar": 1300,
              "methodology": "per diem",
              "median_amount": 1300,
              "10th_percentile": 1300,
              "90th_percentile": 1300,
              "count": "1 through 10"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "median_amount": 1572.8,
              "10th_percentile": 1572.8,
              "90th_percentile": 1572.8,
              "count": "16"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_dollar": 1800,
              "methodology": "per diem",
              "median_amount": 1800,
              "10th_percentile": 1800,
              "90th_percentile": 1800,
              "count": "1 through 10"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "HMO",
              "standard_charge_dollar": 1688,
              "methodology": "per diem",
              "median_amount": 1688,
              "10th_percentile": 1688,
              "90th_percentile": 1688,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "EPO",
              "standard_charge_dollar": 1688,
              "methodology": "per diem",
              "median_amount": 1688,
              "10th_percentile": 1688,
              "90th_percentile": 1688,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Indemnity",
              "standard_charge_dollar": 1688,
              "methodology": "per diem",
              "median_amount": 1688,
              "10th_percentile": 1688,
              "90th_percentile": 1688,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "POS",
              "standard_charge_dollar": 1688,
              "methodology": "per diem",
              "median_amount": 1688,
              "10th_percentile": 1688,
              "90th_percentile": 1688,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "PPO",
              "standard_charge_dollar": 1688,
              "methodology": "per diem",
              "median_amount": 1688,
              "10th_percentile": 1688,
              "90th_percentile": 1688,
              "count": "1 through 10"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Regence BlueShield of Idaho",
              "plan_name": "LTACH - Participating Network",
              "standard_charge_dollar": 1402,
              "methodology": "per diem",
              "median_amount": 1402,
              "10th_percentile": 1402,
              "90th_percentile": 1402,
              "count": "1 through 10"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Montana Health Cooperative dba Mountain Health Co-Op HPN Product",
              "plan_name": "Idaho ENGAGE",
              "standard_charge_dollar": 1825,
              "methodology": "per diem",
              "median_amount": 1825,
              "10th_percentile": 1825,
              "90th_percentile": 1825,
              "count": "1 through 10"
            }
          ],
          "minimum": 1300,
          "maximum": 1825
        }
      ]
    },
    {
      "description": "Medical/Surgical Supplies and Devices - Prosthetic/Orthotic Devices",
      "code_information": [
        {
          "code": "0274",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Coventry Health Care",
              "plan_name": "Auto Medical",
              "standard_charge_percentage": 105,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Coventry Health Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 105,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Medical/Surgical Supplies and Devices - Pacemaker",
      "code_information": [
        {
          "code": "0275",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Coventry Health Care",
              "plan_name": "Auto Medical",
              "standard_charge_percentage": 105,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Coventry Health Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 105,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Medical/Surgical Supplies and Devices - Other Implants",
      "code_information": [
        {
          "code": "0278",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Coventry Health Care",
              "plan_name": "Auto Medical",
              "standard_charge_percentage": 105,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Coventry Health Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 105,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Pharmacy - Drugs Requiring Detailed Coding",
      "code_information": [
        {
          "code": "0636",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Coventry Health Care",
              "plan_name": "Auto Medical",
              "standard_charge_percentage": 105,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Coventry Health Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 105,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Room & Board - Deluxe Private - Medical/Surgical/GYN",
      "code_information": [
        {
          "code": "0141",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "HMO",
              "standard_charge_dollar": 1688,
              "methodology": "per diem",
              "median_amount": 1688,
              "10th_percentile": 1688,
              "90th_percentile": 1688,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "EPO",
              "standard_charge_dollar": 1688,
              "methodology": "per diem",
              "median_amount": 1688,
              "10th_percentile": 1688,
              "90th_percentile": 1688,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Indemnity",
              "standard_charge_dollar": 1688,
              "methodology": "per diem",
              "median_amount": 1688,
              "10th_percentile": 1688,
              "90th_percentile": 1688,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "POS",
              "standard_charge_dollar": 1688,
              "methodology": "per diem",
              "median_amount": 1688,
              "10th_percentile": 1688,
              "90th_percentile": 1688,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "PPO",
              "standard_charge_dollar": 1688,
              "methodology": "per diem",
              "median_amount": 1688,
              "10th_percentile": 1688,
              "90th_percentile": 1688,
              "count": "1 through 10"
            },
            {
              "payer_name": "Regence BlueShield of Idaho",
              "plan_name": "LTACH - Participating Network",
              "standard_charge_dollar": 1402,
              "methodology": "per diem",
              "median_amount": 1402,
              "10th_percentile": 1402,
              "90th_percentile": 1402,
              "count": "1 through 10"
            }
          ],
          "minimum": 1402,
          "maximum": 1688
        }
      ]
    },
    {
      "description": "Inpatient Renal Dialysis - Hemodialysis",
      "code_information": [
        {
          "code": "0801",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Regence BlueShield of Idaho",
              "plan_name": "LTACH - Participating Network",
              "standard_charge_dollar": 500,
              "methodology": "per diem",
              "median_amount": 500,
              "10th_percentile": 500,
              "90th_percentile": 500,
              "count": "1 through 10"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Qualified Employer Plan",
              "standard_charge_dollar": 660,
              "methodology": "per diem",
              "median_amount": 660,
              "10th_percentile": 660,
              "90th_percentile": 660,
              "count": "1 through 10"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Qualified Health Plan (ACA)",
              "standard_charge_dollar": 660,
              "methodology": "per diem",
              "median_amount": 660,
              "10th_percentile": 660,
              "90th_percentile": 660,
              "count": "1 through 10"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Managed-Care POS",
              "standard_charge_dollar": 660,
              "methodology": "per diem",
              "median_amount": 660,
              "10th_percentile": 660,
              "90th_percentile": 660,
              "count": "1 through 10"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "PPO",
              "standard_charge_dollar": 660,
              "methodology": "per diem",
              "median_amount": 660,
              "10th_percentile": 660,
              "90th_percentile": 660,
              "count": "1 through 10"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Traditional",
              "standard_charge_dollar": 660,
              "methodology": "per diem",
              "median_amount": 660,
              "10th_percentile": 660,
              "90th_percentile": 660,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "HMO",
              "standard_charge_dollar": 490,
              "methodology": "fee schedule",
              "median_amount": 490,
              "10th_percentile": 490,
              "90th_percentile": 490,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "EPO",
              "standard_charge_dollar": 490,
              "methodology": "fee schedule",
              "median_amount": 490,
              "10th_percentile": 490,
              "90th_percentile": 490,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Indemnity",
              "standard_charge_dollar": 490,
              "methodology": "fee schedule",
              "median_amount": 490,
              "10th_percentile": 490,
              "90th_percentile": 490,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "POS",
              "standard_charge_dollar": 490,
              "methodology": "fee schedule",
              "median_amount": 490,
              "10th_percentile": 490,
              "90th_percentile": 490,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "PPO",
              "standard_charge_dollar": 490,
              "methodology": "fee schedule",
              "median_amount": 490,
              "10th_percentile": 490,
              "90th_percentile": 490,
              "count": "1 through 10"
            },
            {
              "payer_name": "Cigna Health and Life Insurance Company",
              "plan_name": "PPO",
              "standard_charge_dollar": 649,
              "methodology": "per diem",
              "median_amount": 649,
              "10th_percentile": 649,
              "90th_percentile": 649,
              "count": "1 through 10"
            },
            {
              "payer_name": "Cigna Health and Life Insurance Company",
              "plan_name": "HMO",
              "standard_charge_dollar": 649,
              "methodology": "per diem",
              "median_amount": 649,
              "10th_percentile": 649,
              "90th_percentile": 649,
              "count": "1 through 10"
            },
            {
              "payer_name": "Montana Health Cooperative dba Mountain Health Co-Op HPN Product",
              "plan_name": "Idaho ENGAGE",
              "standard_charge_dollar": 600,
              "methodology": "fee schedule",
              "median_amount": 600,
              "10th_percentile": 600,
              "90th_percentile": 600,
              "count": "1 through 10"
            }
          ],
          "minimum": 490,
          "maximum": 660
        }
      ]
    },
    {
      "description": "Inpatient Renal Dialysis - Peritoneal Dialysis (Non-CAPD)",
      "code_information": [
        {
          "code": "0802",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Regence BlueShield of Idaho",
              "plan_name": "LTACH - Participating Network",
              "standard_charge_dollar": 500,
              "methodology": "per diem",
              "median_amount": 500,
              "10th_percentile": 500,
              "90th_percentile": 500,
              "count": "1 through 10"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Qualified Employer Plan",
              "standard_charge_dollar": 660,
              "methodology": "per diem",
              "median_amount": 660,
              "10th_percentile": 660,
              "90th_percentile": 660,
              "count": "1 through 10"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Qualified Health Plan (ACA)",
              "standard_charge_dollar": 660,
              "methodology": "per diem",
              "median_amount": 660,
              "10th_percentile": 660,
              "90th_percentile": 660,
              "count": "1 through 10"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Managed-Care POS",
              "standard_charge_dollar": 660,
              "methodology": "per diem",
              "median_amount": 660,
              "10th_percentile": 660,
              "90th_percentile": 660,
              "count": "1 through 10"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "PPO",
              "standard_charge_dollar": 660,
              "methodology": "per diem",
              "median_amount": 660,
              "10th_percentile": 660,
              "90th_percentile": 660,
              "count": "1 through 10"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Traditional",
              "standard_charge_dollar": 660,
              "methodology": "per diem",
              "median_amount": 660,
              "10th_percentile": 660,
              "90th_percentile": 660,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "HMO",
              "standard_charge_dollar": 490,
              "methodology": "fee schedule",
              "median_amount": 490,
              "10th_percentile": 490,
              "90th_percentile": 490,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "EPO",
              "standard_charge_dollar": 490,
              "methodology": "fee schedule",
              "median_amount": 490,
              "10th_percentile": 490,
              "90th_percentile": 490,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Indemnity",
              "standard_charge_dollar": 490,
              "methodology": "fee schedule",
              "median_amount": 490,
              "10th_percentile": 490,
              "90th_percentile": 490,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "POS",
              "standard_charge_dollar": 490,
              "methodology": "fee schedule",
              "median_amount": 490,
              "10th_percentile": 490,
              "90th_percentile": 490,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "PPO",
              "standard_charge_dollar": 490,
              "methodology": "fee schedule",
              "median_amount": 490,
              "10th_percentile": 490,
              "90th_percentile": 490,
              "count": "1 through 10"
            },
            {
              "payer_name": "Cigna Health and Life Insurance Company",
              "plan_name": "PPO",
              "standard_charge_dollar": 649,
              "methodology": "per diem",
              "median_amount": 649,
              "10th_percentile": 649,
              "90th_percentile": 649,
              "count": "1 through 10"
            },
            {
              "payer_name": "Cigna Health and Life Insurance Company",
              "plan_name": "HMO",
              "standard_charge_dollar": 649,
              "methodology": "per diem",
              "median_amount": 649,
              "10th_percentile": 649,
              "90th_percentile": 649,
              "count": "1 through 10"
            },
            {
              "payer_name": "Montana Health Cooperative dba Mountain Health Co-Op HPN Product",
              "plan_name": "Idaho ENGAGE",
              "standard_charge_dollar": 600,
              "methodology": "fee schedule",
              "median_amount": 600,
              "10th_percentile": 600,
              "90th_percentile": 600,
              "count": "1 through 10"
            }
          ],
          "minimum": 490,
          "maximum": 660
        }
      ]
    },
    {
      "description": "Occupational Therapy - General Classification",
      "code_information": [
        {
          "code": "0430",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_dollar": 90,
              "methodology": "fee schedule",
              "median_amount": 90,
              "10th_percentile": 90,
              "90th_percentile": 90,
              "count": "1 through 10"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 90,
          "maximum": 90
        }
      ]
    },
    {
      "description": "Therapeutic exercises",
      "code_information": [
        {
          "code": "97110",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_dollar": 90,
              "methodology": "fee schedule",
              "median_amount": 90,
              "10th_percentile": 90,
              "90th_percentile": 90,
              "count": "1 through 10"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 90,
          "maximum": 90
        }
      ]
    },
    {
      "description": "Gait training therapy",
      "code_information": [
        {
          "code": "97116",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_dollar": 90,
              "methodology": "fee schedule",
              "median_amount": 90,
              "10th_percentile": 90,
              "90th_percentile": 90,
              "count": "1 through 10"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 90,
          "maximum": 90
        }
      ]
    },
    {
      "description": "Therapeutic activities",
      "code_information": [
        {
          "code": "97530",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_dollar": 90,
              "methodology": "fee schedule",
              "median_amount": 90,
              "10th_percentile": 90,
              "90th_percentile": 90,
              "count": "1 through 10"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 90,
          "maximum": 90
        }
      ]
    },
    {
      "description": "Self care mngment training",
      "code_information": [
        {
          "code": "97535",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_dollar": 90,
              "methodology": "fee schedule",
              "median_amount": 90,
              "10th_percentile": 90,
              "90th_percentile": 90,
              "count": "1 through 10"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 90,
          "maximum": 90
        }
      ]
    },
    {
      "description": "Community/work reintegration",
      "code_information": [
        {
          "code": "97537",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_dollar": 90,
              "methodology": "fee schedule",
              "median_amount": 90,
              "10th_percentile": 90,
              "90th_percentile": 90,
              "count": "1 through 10"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 90,
          "maximum": 90
        }
      ]
    },
    {
      "description": "Occupational Therapy - Evaluation or Reevaluation",
      "code_information": [
        {
          "code": "0434",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_dollar": 150,
              "methodology": "fee schedule",
              "median_amount": 150,
              "10th_percentile": 150,
              "90th_percentile": 150,
              "count": "1 through 10"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 150,
          "maximum": 150
        }
      ]
    },
    {
      "description": "Ot eval low complex 30 min",
      "code_information": [
        {
          "code": "97165",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_dollar": 150,
              "methodology": "fee schedule",
              "median_amount": 150,
              "10th_percentile": 150,
              "90th_percentile": 150,
              "count": "1 through 10"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 150,
          "maximum": 150
        }
      ]
    },
    {
      "description": "Ot eval mod complex 45 min",
      "code_information": [
        {
          "code": "97166",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_dollar": 150,
              "methodology": "fee schedule",
              "median_amount": 150,
              "10th_percentile": 150,
              "90th_percentile": 150,
              "count": "1 through 10"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 150,
          "maximum": 150
        }
      ]
    },
    {
      "description": "Ot eval high complex 60 min",
      "code_information": [
        {
          "code": "97167",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_dollar": 150,
              "methodology": "fee schedule",
              "median_amount": 150,
              "10th_percentile": 150,
              "90th_percentile": 150,
              "count": "1 through 10"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 150,
          "maximum": 150
        }
      ]
    },
    {
      "description": "Ot re-eval est plan care",
      "code_information": [
        {
          "code": "97168",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_dollar": 150,
              "methodology": "fee schedule",
              "median_amount": 150,
              "10th_percentile": 150,
              "90th_percentile": 150,
              "count": "1 through 10"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 150,
          "maximum": 150
        }
      ]
    },
    {
      "description": "Physical Therapy - General Classification",
      "code_information": [
        {
          "code": "0420",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_dollar": 90,
              "methodology": "fee schedule",
              "median_amount": 90,
              "10th_percentile": 90,
              "90th_percentile": 90,
              "count": "1 through 10"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 90,
          "maximum": 90
        }
      ]
    },
    {
      "description": "Appl modality 1+estim ea 15",
      "code_information": [
        {
          "code": "97032",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_dollar": 90,
              "methodology": "fee schedule",
              "median_amount": 90,
              "10th_percentile": 90,
              "90th_percentile": 90,
              "count": "1 through 10"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 90,
          "maximum": 90
        }
      ]
    },
    {
      "description": "Neuromuscular reeducation",
      "code_information": [
        {
          "code": "97112",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_dollar": 90,
              "methodology": "fee schedule",
              "median_amount": 90,
              "10th_percentile": 90,
              "90th_percentile": 90,
              "count": "1 through 10"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 90,
          "maximum": 90
        }
      ]
    },
    {
      "description": "Aquatic therapy/exercises",
      "code_information": [
        {
          "code": "97113",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_dollar": 90,
              "methodology": "fee schedule",
              "median_amount": 90,
              "10th_percentile": 90,
              "90th_percentile": 90,
              "count": "1 through 10"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 90,
          "maximum": 90
        }
      ]
    },
    {
      "description": "Massage therapy",
      "code_information": [
        {
          "code": "97124",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_dollar": 90,
              "methodology": "fee schedule",
              "median_amount": 90,
              "10th_percentile": 90,
              "90th_percentile": 90,
              "count": "1 through 10"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 90,
          "maximum": 90
        }
      ]
    },
    {
      "description": "Ther ivntj 1st 15 min",
      "code_information": [
        {
          "code": "97129",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_dollar": 90,
              "methodology": "fee schedule",
              "median_amount": 90,
              "10th_percentile": 90,
              "90th_percentile": 90,
              "count": "1 through 10"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 90,
          "maximum": 90
        }
      ]
    },
    {
      "description": "Manual therapy 1/> regions",
      "code_information": [
        {
          "code": "97140",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_dollar": 90,
              "methodology": "fee schedule",
              "median_amount": 90,
              "10th_percentile": 90,
              "90th_percentile": 90,
              "count": "1 through 10"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 90,
          "maximum": 90
        }
      ]
    },
    {
      "description": "Physical Therapy - Evaluation or Re-evaluation",
      "code_information": [
        {
          "code": "0424",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_dollar": 150,
              "methodology": "fee schedule",
              "median_amount": 150,
              "10th_percentile": 150,
              "90th_percentile": 150,
              "count": "1 through 10"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 150,
          "maximum": 150
        }
      ]
    },
    {
      "description": "Pt eval low complex 20 min",
      "code_information": [
        {
          "code": "97161",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_dollar": 150,
              "methodology": "fee schedule",
              "median_amount": 150,
              "10th_percentile": 150,
              "90th_percentile": 150,
              "count": "1 through 10"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 150,
          "maximum": 150
        }
      ]
    },
    {
      "description": "Pt eval mod complex 30 min",
      "code_information": [
        {
          "code": "97162",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_dollar": 150,
              "methodology": "fee schedule",
              "median_amount": 150,
              "10th_percentile": 150,
              "90th_percentile": 150,
              "count": "1 through 10"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 150,
          "maximum": 150
        }
      ]
    },
    {
      "description": "Pt eval high complex 45 min",
      "code_information": [
        {
          "code": "97163",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_dollar": 150,
              "methodology": "fee schedule",
              "median_amount": 150,
              "10th_percentile": 150,
              "90th_percentile": 150,
              "count": "1 through 10"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 150,
          "maximum": 150
        }
      ]
    },
    {
      "description": "Pt re-eval est plan care",
      "code_information": [
        {
          "code": "97164",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_dollar": 150,
              "methodology": "fee schedule",
              "median_amount": 150,
              "10th_percentile": 150,
              "90th_percentile": 150,
              "count": "1 through 10"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 150,
          "maximum": 150
        }
      ]
    },
    {
      "description": "Speech Therapy - Language Pathology - General Classification",
      "code_information": [
        {
          "code": "0440",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_dollar": 90,
              "methodology": "fee schedule",
              "median_amount": 90,
              "10th_percentile": 90,
              "90th_percentile": 90,
              "count": "1 through 10"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 90,
          "maximum": 90
        }
      ]
    },
    {
      "description": "Speech/hearing therapy",
      "code_information": [
        {
          "code": "92507",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_dollar": 90,
              "methodology": "fee schedule",
              "median_amount": 90,
              "10th_percentile": 90,
              "90th_percentile": 90,
              "count": "1 through 10"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 90,
          "maximum": 90
        }
      ]
    },
    {
      "description": "Oral function therapy",
      "code_information": [
        {
          "code": "92526",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_dollar": 90,
              "methodology": "fee schedule",
              "median_amount": 90,
              "10th_percentile": 90,
              "90th_percentile": 90,
              "count": "1 through 10"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 90,
          "maximum": 90
        }
      ]
    },
    {
      "description": "Oral speech device eval",
      "code_information": [
        {
          "code": "92597",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_dollar": 90,
              "methodology": "fee schedule",
              "median_amount": 90,
              "10th_percentile": 90,
              "90th_percentile": 90,
              "count": "1 through 10"
            }
          ],
          "minimum": 90,
          "maximum": 90
        }
      ]
    },
    {
      "description": "Ex for nonspeech device rx",
      "code_information": [
        {
          "code": "92605",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_dollar": 90,
              "methodology": "fee schedule",
              "median_amount": 90,
              "10th_percentile": 90,
              "90th_percentile": 90,
              "count": "1 through 10"
            }
          ],
          "minimum": 90,
          "maximum": 90
        }
      ]
    },
    {
      "description": "Non-speech device service",
      "code_information": [
        {
          "code": "92606",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_dollar": 90,
              "methodology": "fee schedule",
              "median_amount": 90,
              "10th_percentile": 90,
              "90th_percentile": 90,
              "count": "1 through 10"
            }
          ],
          "minimum": 90,
          "maximum": 90
        }
      ]
    },
    {
      "description": "Ex for speech device rx 1hr",
      "code_information": [
        {
          "code": "92607",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_dollar": 90,
              "methodology": "fee schedule",
              "median_amount": 90,
              "10th_percentile": 90,
              "90th_percentile": 90,
              "count": "1 through 10"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 90,
          "maximum": 90
        }
      ]
    },
    {
      "description": "Speech Therapy - Language Pathology - Evaluation or Reevaluation",
      "code_information": [
        {
          "code": "0444",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_dollar": 150,
              "methodology": "fee schedule",
              "median_amount": 150,
              "10th_percentile": 150,
              "90th_percentile": 150,
              "count": "1 through 10"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 150,
          "maximum": 150
        }
      ]
    },
    {
      "description": "Evaluation of speech fluency",
      "code_information": [
        {
          "code": "92521",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_dollar": 150,
              "methodology": "fee schedule",
              "median_amount": 150,
              "10th_percentile": 150,
              "90th_percentile": 150,
              "count": "1 through 10"
            }
          ],
          "minimum": 150,
          "maximum": 150
        }
      ]
    },
    {
      "description": "Evaluate speech production",
      "code_information": [
        {
          "code": "92522",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_dollar": 150,
              "methodology": "fee schedule",
              "median_amount": 150,
              "10th_percentile": 150,
              "90th_percentile": 150,
              "count": "1 through 10"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 150,
          "maximum": 150
        }
      ]
    },
    {
      "description": "Speech sound lang comprehen",
      "code_information": [
        {
          "code": "92523",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_dollar": 150,
              "methodology": "fee schedule",
              "median_amount": 150,
              "10th_percentile": 150,
              "90th_percentile": 150,
              "count": "1 through 10"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 150,
          "maximum": 150
        }
      ]
    },
    {
      "description": "Behavral qualit analys voice",
      "code_information": [
        {
          "code": "92524",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_dollar": 150,
              "methodology": "fee schedule",
              "median_amount": 150,
              "10th_percentile": 150,
              "90th_percentile": 150,
              "count": "1 through 10"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 150,
          "maximum": 150
        }
      ]
    },
    {
      "description": "Assessment of aphasia",
      "code_information": [
        {
          "code": "96105",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_dollar": 150,
              "methodology": "fee schedule",
              "median_amount": 150,
              "10th_percentile": 150,
              "90th_percentile": 150,
              "count": "1 through 10"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 150,
          "maximum": 150
        }
      ]
    },
    {
      "description": "Laboratory - General Classification",
      "code_information": [
        {
          "code": "0300",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Laboratory - Chemistry",
      "code_information": [
        {
          "code": "0301",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Respiratory Services - General Classification",
      "code_information": [
        {
          "code": "0410",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Physical Therapy - Visit Charge",
      "code_information": [
        {
          "code": "0421",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Ther ivntj ea addl 15 min",
      "code_information": [
        {
          "code": "97130",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Hemodialysis one evaluation",
      "code_information": [
        {
          "code": "90935",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Unlisted special svc px/rprt",
      "code_information": [
        {
          "code": "99199",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Evaluate swallowing function",
      "code_information": [
        {
          "code": "92610",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Cognitive test by hc pro",
      "code_information": [
        {
          "code": "96125",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Glucose other fluid",
      "code_information": [
        {
          "code": "82945",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Debride nail 6 or more",
      "code_information": [
        {
          "code": "11721",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "App mdlty 1+ultrasound ea 15",
      "code_information": [
        {
          "code": "97035",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Glucose blood test",
      "code_information": [
        {
          "code": "82962",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Physical performance test",
      "code_information": [
        {
          "code": "97750",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "X-ray exam chest 1 view",
      "code_information": [
        {
          "code": "71045",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Use of speech device service",
      "code_information": [
        {
          "code": "92609",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Wheelchair mngment training",
      "code_information": [
        {
          "code": "97542",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Endoscopy swallow (fees) vid",
      "code_information": [
        {
          "code": "92612",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Vent mgmt inpat subq day",
      "code_information": [
        {
          "code": "94003",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Orthotic mgmt&traing 1st enc",
      "code_information": [
        {
          "code": "97760",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Electric stimulation therapy",
      "code_information": [
        {
          "code": "97014",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Orthc/prostc mgmt sbsq enc",
      "code_information": [
        {
          "code": "97763",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Complete cbc w/auto diff wbc",
      "code_information": [
        {
          "code": "85025",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Canalith repositioning proc",
      "code_information": [
        {
          "code": "95992",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Comprehen metabolic panel",
      "code_information": [
        {
          "code": "80053",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Sensory integration",
      "code_information": [
        {
          "code": "97533",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Metabolic panel total ca",
      "code_information": [
        {
          "code": "80048",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Ndl insj w/o njx 3+ musc",
      "code_information": [
        {
          "code": "20561",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Ndl insj w/o njx 1 or 2 musc",
      "code_information": [
        {
          "code": "20560",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Blood gases w/o2 saturation",
      "code_information": [
        {
          "code": "82805",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "App mdlty 1+iontphrsis ea 15",
      "code_information": [
        {
          "code": "97033",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Paraffin bath therapy",
      "code_information": [
        {
          "code": "97018",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Complete cbc automated",
      "code_information": [
        {
          "code": "85027",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Ct head/brain w/o & w/dye",
      "code_information": [
        {
          "code": "70470",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Renal function panel",
      "code_information": [
        {
          "code": "80069",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "X-ray exam chest 2 views",
      "code_information": [
        {
          "code": "71046",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Extremity study",
      "code_information": [
        {
          "code": "93970",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Vent mgmt inpat init day",
      "code_information": [
        {
          "code": "94002",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Blood typing rbc antigens",
      "code_information": [
        {
          "code": "86905",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Resp virus 12-25 targets",
      "code_information": [
        {
          "code": "87633",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Procalcitonin (pct)",
      "code_information": [
        {
          "code": "84145",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Assay of magnesium",
      "code_information": [
        {
          "code": "83735",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Sbsq hosp ip/obs moderate 35",
      "code_information": [
        {
          "code": "99232",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Application of finger splint",
      "code_information": [
        {
          "code": "29130",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Prosthetic traing 1st enc",
      "code_information": [
        {
          "code": "97761",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Mechanical traction therapy",
      "code_information": [
        {
          "code": "97012",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Mri lumbar spine w/o & w/dye",
      "code_information": [
        {
          "code": "72158",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Ct abd & pelv w/contrast",
      "code_information": [
        {
          "code": "74177",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Unlisted e&m service",
      "code_information": [
        {
          "code": "99499",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Caregiver traing 1st 30 min",
      "code_information": [
        {
          "code": "97550",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Prothrombin time",
      "code_information": [
        {
          "code": "85610",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Assay of natriuretic peptide",
      "code_information": [
        {
          "code": "83880",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Blood culture for bacteria",
      "code_information": [
        {
          "code": "87040",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Sbsq hosp ip/obs sf/low 25",
      "code_information": [
        {
          "code": "99231",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Sars-cov-2 covid-19 amp prb",
      "code_information": [
        {
          "code": "87635",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Apply forearm splint",
      "code_information": [
        {
          "code": "29125",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Blood gases any combination",
      "code_information": [
        {
          "code": "82803",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "C-reactive protein",
      "code_information": [
        {
          "code": "86140",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "C diff amplified probe",
      "code_information": [
        {
          "code": "87493",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Assay of vancomycin",
      "code_information": [
        {
          "code": "80202",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Assay thyroid stim hormone",
      "code_information": [
        {
          "code": "84443",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Assay of phosphorus",
      "code_information": [
        {
          "code": "84100",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Culture othr specimn aerobic",
      "code_information": [
        {
          "code": "87070",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Assay of prealbumin",
      "code_information": [
        {
          "code": "84134",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Apply forearm splint",
      "code_information": [
        {
          "code": "29126",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Us exam abdom complete",
      "code_information": [
        {
          "code": "76700",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Extremity study",
      "code_information": [
        {
          "code": "93971",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "X-ray exam of pelvis",
      "code_information": [
        {
          "code": "72170",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Assay of calcium",
      "code_information": [
        {
          "code": "82330",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Lower extremity study",
      "code_information": [
        {
          "code": "93926",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Urine culture/colony count",
      "code_information": [
        {
          "code": "87086",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "X-ray exam of shoulder",
      "code_information": [
        {
          "code": "73030",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "X-ray exam of knee 1 or 2",
      "code_information": [
        {
          "code": "73560",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Urinalysis auto w/scope",
      "code_information": [
        {
          "code": "81001",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "X-ray exam of wrist",
      "code_information": [
        {
          "code": "73100",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "X-ray exam of ankle",
      "code_information": [
        {
          "code": "73610",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "X-ray exam abdomen 1 view",
      "code_information": [
        {
          "code": "74018",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "1st hosp ip/obs high 75",
      "code_information": [
        {
          "code": "99223",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Assay of ferritin",
      "code_information": [
        {
          "code": "82728",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Hepatitis b surface ag ia",
      "code_information": [
        {
          "code": "87340",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Free assay (ft-3)",
      "code_information": [
        {
          "code": "84481",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Reagent strip/blood glucose",
      "code_information": [
        {
          "code": "82948",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Hemoglobin glycosylated a1c",
      "code_information": [
        {
          "code": "83036",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES",
      "code_information": [
        {
          "code": "518",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES",
      "code_information": [
        {
          "code": "518",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA",
      "code_information": [
        {
          "code": "519",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Major Chest Trauma with CC",
      "code_information": [
        {
          "code": "184",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Major Chest Trauma without CC/MCC",
      "code_information": [
        {
          "code": "185",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Pleural Effusion with MCC",
      "code_information": [
        {
          "code": "186",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Pleural Effusion with CC",
      "code_information": [
        {
          "code": "187",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Pleural Effusion without CC/MCC",
      "code_information": [
        {
          "code": "188",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Pulmonary Edema and Respiratory Failure",
      "code_information": [
        {
          "code": "189",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "median_amount": 12519.5,
              "10th_percentile": 12519.5,
              "90th_percentile": 14606.08,
              "count": "1 through 10"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "median_amount": 12519.5,
              "10th_percentile": 12519.5,
              "90th_percentile": 14606.08,
              "count": "1 through 10"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "median_amount": 43818.24,
              "10th_percentile": 16692.66,
              "90th_percentile": 47661.2,
              "count": "30"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "median_amount": 22493.36,
              "10th_percentile": 22493.36,
              "90th_percentile": 42941.88,
              "count": "1 through 10"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 12519.5,
          "maximum": 43818.24
        }
      ]
    },
    {
      "description": "Chronic Obstructive Pulmonary Disease with MCC*",
      "code_information": [
        {
          "code": "190",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Chronic Obstructive Pulmonary Disease with CC*",
      "code_information": [
        {
          "code": "191",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Chronic Obstructive Pulmonary Disease without CC/MCC*",
      "code_information": [
        {
          "code": "192",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Simple Pneumonia and Pleurisy with MCC*",
      "code_information": [
        {
          "code": "193",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Simple Pneumonia and Pleurisy with CC*",
      "code_information": [
        {
          "code": "194",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Simple Pneumonia and Pleurisy without CC/MCC*",
      "code_information": [
        {
          "code": "195",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Interstitial Lung Disease with MCC",
      "code_information": [
        {
          "code": "196",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Interstitial Lung Disease with CC",
      "code_information": [
        {
          "code": "197",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Interstitial Lung Disease without CC/MCC",
      "code_information": [
        {
          "code": "198",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Pneumothorax with MCC",
      "code_information": [
        {
          "code": "199",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "median_amount": 40584.95,
              "10th_percentile": 40584.95,
              "90th_percentile": 40584.95,
              "count": "1 through 10"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 40584.95,
          "maximum": 40584.95
        }
      ]
    },
    {
      "description": "Pneumothorax with CC",
      "code_information": [
        {
          "code": "200",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Allogeneic Bone Marrow Transplant",
      "code_information": [
        {
          "code": "14",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Autologous Bone Marrow Transplant with CC/MCC",
      "code_information": [
        {
          "code": "16",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Autologous Bone Marrow Transplant without CC/MCC",
      "code_information": [
        {
          "code": "17",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Chimeric Antigen Receptor (CAR) T-Cell and Other Immunotherapies",
      "code_information": [
        {
          "code": "18",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
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              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Simultaneous Pancreas and Kidney Transplant with Hemodialysis",
      "code_information": [
        {
          "code": "19",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
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              "methodology": "fee schedule",
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              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
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              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
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              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
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              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with MCC",
      "code_information": [
        {
          "code": "20",
          "type": "LOCAL"
        }
      ],
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        {
          "setting": "inpatient",
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            {
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              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
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              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
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              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with CC",
      "code_information": [
        {
          "code": "21",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
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              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage without CC/MCC",
      "code_information": [
        {
          "code": "22",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis with MCC or Antineoplastic Implant or Epilepsy with Neurostimulator",
      "code_information": [
        {
          "code": "23",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis without MCC",
      "code_information": [
        {
          "code": "24",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Craniotomy and Endovascular Intracranial Procedures with MCC",
      "code_information": [
        {
          "code": "25",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY",
      "code_information": [
        {
          "code": "511",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY",
      "code_information": [
        {
          "code": "511",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY",
      "code_information": [
        {
          "code": "511",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Major Male Pelvic Procedures with CC/MCC",
      "code_information": [
        {
          "code": "707",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Major Male Pelvic Procedures without CC/MCC",
      "code_information": [
        {
          "code": "708",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Penis Procedures with CC/MCC",
      "code_information": [
        {
          "code": "709",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Penis Procedures without CC/MCC",
      "code_information": [
        {
          "code": "710",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Testes Procedures with CC/MCC",
      "code_information": [
        {
          "code": "711",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Testes Procedures without CC/MCC",
      "code_information": [
        {
          "code": "712",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Transurethral Prostatectomy with CC/MCC",
      "code_information": [
        {
          "code": "713",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Transurethral Prostatectomy without CC/MCC",
      "code_information": [
        {
          "code": "714",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Male Reproductive System O.R. Procedures for Malignancy with CC/MCC",
      "code_information": [
        {
          "code": "715",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Male Reproductive System O.R. Procedures for Malignancy without CC/MCC",
      "code_information": [
        {
          "code": "716",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Male Reproductive System O.R. Procedures Except Malignancy with CC/MCC",
      "code_information": [
        {
          "code": "717",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "median_amount": 48364.8,
              "10th_percentile": 48364.8,
              "90th_percentile": 48364.8,
              "count": "1 through 10"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 48364.8,
          "maximum": 48364.8
        }
      ]
    },
    {
      "description": "Other Male Reproductive System O.R. Procedures Except Malignancy without CC/MCC",
      "code_information": [
        {
          "code": "718",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY",
      "code_information": [
        {
          "code": "511",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY",
      "code_information": [
        {
          "code": "512",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Craniotomy and Endovascular Intracranial Procedures with CC",
      "code_information": [
        {
          "code": "26",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Craniotomy and Endovascular Intracranial Procedures without CC/MCC",
      "code_information": [
        {
          "code": "27",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Spinal Procedures with MCC",
      "code_information": [
        {
          "code": "28",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Combined Anterior and Posterior Cervical Spinal Fusion with MCC",
      "code_information": [
        {
          "code": "429",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Combined Anterior and Posterior Cervical Spinal Fusion without MCC",
      "code_information": [
        {
          "code": "430",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Cirrhosis and Alcoholic Hepatitis with MCC*",
      "code_information": [
        {
          "code": "432",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Cirrhosis and Alcoholic Hepatitis with CC*",
      "code_information": [
        {
          "code": "433",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Cirrhosis and Alcoholic Hepatitis without CC/MCC*",
      "code_information": [
        {
          "code": "434",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Malignancy of Hepatobiliary System or Pancreas with MCC*",
      "code_information": [
        {
          "code": "435",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Malignancy of Hepatobiliary System or Pancreas with CC*",
      "code_information": [
        {
          "code": "436",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Malignancy of Hepatobiliary System or Pancreas without CC/MCC*",
      "code_information": [
        {
          "code": "437",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Disorders of Pancreas Except Malignancy with MCC*",
      "code_information": [
        {
          "code": "438",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Disorders of Pancreas Except Malignancy with CC*",
      "code_information": [
        {
          "code": "439",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Disorders of Pancreas Except Malignancy without CC/MCC*",
      "code_information": [
        {
          "code": "440",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with MCC*",
      "code_information": [
        {
          "code": "441",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with CC*",
      "code_information": [
        {
          "code": "442",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis without CC/MCC*",
      "code_information": [
        {
          "code": "443",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Disorders of the Biliary Tract with MCC",
      "code_information": [
        {
          "code": "444",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Disorders of the Biliary Tract with CC",
      "code_information": [
        {
          "code": "445",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Disorders of the Biliary Tract without CC/MCC",
      "code_information": [
        {
          "code": "446",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Multiple Level Spinal Fusion Except Cervical with MCC or Custom-Made Anatomically Designed Interbody Fusion Device",
      "code_information": [
        {
          "code": "447",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Multiple Level Spinal Fusion Except Cervical without MCC",
      "code_information": [
        {
          "code": "448",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS",
      "code_information": [
        {
          "code": "532",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS",
      "code_information": [
        {
          "code": "532",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS",
      "code_information": [
        {
          "code": "532",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS",
      "code_information": [
        {
          "code": "532",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Dysequilibrium",
      "code_information": [
        {
          "code": "149",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Epistaxis with MCC",
      "code_information": [
        {
          "code": "150",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Epistaxis without MCC",
      "code_information": [
        {
          "code": "151",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Otitis Media and URI with MCC",
      "code_information": [
        {
          "code": "152",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Otitis Media and URI without MCC",
      "code_information": [
        {
          "code": "153",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "median_amount": 28210.09,
              "10th_percentile": 28210.09,
              "90th_percentile": 28210.09,
              "count": "1 through 10"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 28210.09,
          "maximum": 28210.09
        }
      ]
    },
    {
      "description": "Other Ear, Nose, Mouth and Throat Diagnoses with MCC",
      "code_information": [
        {
          "code": "154",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Ear, Nose, Mouth and Throat Diagnoses with CC",
      "code_information": [
        {
          "code": "155",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Respiratory System Diagnoses with MCC",
      "code_information": [
        {
          "code": "205",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Respiratory System Diagnoses without MCC",
      "code_information": [
        {
          "code": "206",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Respiratory System Diagnosis with Ventilator Support >96 Hours",
      "code_information": [
        {
          "code": "207",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "median_amount": 89842.29,
              "10th_percentile": 41722.43,
              "90th_percentile": 103423.24,
              "count": "19"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "median_amount": 101354.78,
              "10th_percentile": 101354.78,
              "90th_percentile": 101354.78,
              "count": "1 through 10"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 89842.29,
          "maximum": 101354.78
        }
      ]
    },
    {
      "description": "Respiratory System Diagnosis with Ventilator Support <=96 Hours",
      "code_information": [
        {
          "code": "208",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "median_amount": 49556.12,
              "10th_percentile": 49556.12,
              "90th_percentile": 59300.16,
              "count": "1 through 10"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 49556.12,
          "maximum": 49556.12
        }
      ]
    },
    {
      "description": "Room & Board - Semi-private (Two Beds) - General Classification",
      "code_information": [
        {
          "code": "0120",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Qualified Employer Plan",
              "standard_charge_dollar": 1350,
              "methodology": "per diem",
              "median_amount": 1350,
              "10th_percentile": 1350,
              "90th_percentile": 1350,
              "count": "1 through 10"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Qualified Health Plan (ACA)",
              "standard_charge_dollar": 1350,
              "methodology": "per diem",
              "median_amount": 1350,
              "10th_percentile": 1350,
              "90th_percentile": 1350,
              "count": "1 through 10"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Managed-Care POS",
              "standard_charge_dollar": 1500,
              "methodology": "per diem",
              "median_amount": 1500,
              "10th_percentile": 1500,
              "90th_percentile": 1500,
              "count": "1 through 10"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "PPO",
              "standard_charge_dollar": 1500,
              "methodology": "per diem",
              "median_amount": 1500,
              "10th_percentile": 1500,
              "90th_percentile": 1500,
              "count": "1 through 10"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Traditional",
              "standard_charge_dollar": 1500,
              "methodology": "per diem",
              "median_amount": 1500,
              "10th_percentile": 1500,
              "90th_percentile": 1500,
              "count": "1 through 10"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Duals",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Paradigm Specialty Networks fka AdvaNet",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Paradigm Specialty Networks fka AdvaNet",
              "plan_name": "Other Long-term Care Products",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Paradigm Specialty Networks fka AdvaNet",
              "plan_name": "No Fault",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Paradigm Specialty Networks fka AdvaNet",
              "plan_name": "Liability",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Paradigm Specialty Networks fka AdvaNet",
              "plan_name": "Auto Liability",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_dollar": 1300,
              "methodology": "per diem",
              "median_amount": 1300,
              "10th_percentile": 1300,
              "90th_percentile": 1300,
              "count": "1 through 10"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_dollar": 1800,
              "methodology": "per diem",
              "median_amount": 1800,
              "10th_percentile": 1800,
              "90th_percentile": 1800,
              "count": "1 through 10"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "HMO",
              "standard_charge_dollar": 1688,
              "methodology": "per diem",
              "median_amount": 1688,
              "10th_percentile": 1688,
              "90th_percentile": 1688,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "EPO",
              "standard_charge_dollar": 1688,
              "methodology": "per diem",
              "median_amount": 1688,
              "10th_percentile": 1688,
              "90th_percentile": 1688,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Indemnity",
              "standard_charge_dollar": 1688,
              "methodology": "per diem",
              "median_amount": 1688,
              "10th_percentile": 1688,
              "90th_percentile": 1688,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "POS",
              "standard_charge_dollar": 1688,
              "methodology": "per diem",
              "median_amount": 1688,
              "10th_percentile": 1688,
              "90th_percentile": 1688,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "PPO",
              "standard_charge_dollar": 1688,
              "methodology": "per diem",
              "median_amount": 1688,
              "10th_percentile": 1688,
              "90th_percentile": 1688,
              "count": "1 through 10"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Regence BlueShield of Idaho",
              "plan_name": "LTACH - Participating Network",
              "standard_charge_dollar": 1402,
              "methodology": "per diem",
              "median_amount": 1402,
              "10th_percentile": 1402,
              "90th_percentile": 1402,
              "count": "1 through 10"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 1300,
          "maximum": 1800
        }
      ]
    },
    {
      "description": "Intensive Care Unit - Intermediate ICU",
      "code_information": [
        {
          "code": "0206",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "median_amount": 2227.85,
              "10th_percentile": 2227.85,
              "90th_percentile": 2227.85,
              "count": "1 through 10"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Qualified Employer Plan",
              "standard_charge_dollar": 1665,
              "methodology": "per diem",
              "median_amount": 1665,
              "10th_percentile": 1665,
              "90th_percentile": 1665,
              "count": "1 through 10"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Qualified Health Plan (ACA)",
              "standard_charge_dollar": 1665,
              "methodology": "per diem",
              "median_amount": 1665,
              "10th_percentile": 1665,
              "90th_percentile": 1665,
              "count": "1 through 10"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Managed-Care POS",
              "standard_charge_dollar": 1850,
              "methodology": "per diem",
              "median_amount": 1850,
              "10th_percentile": 1850,
              "90th_percentile": 1850,
              "count": "1 through 10"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "PPO",
              "standard_charge_dollar": 1850,
              "methodology": "per diem",
              "median_amount": 1850,
              "10th_percentile": 1850,
              "90th_percentile": 1850,
              "count": "1 through 10"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Traditional",
              "standard_charge_dollar": 1850,
              "methodology": "per diem",
              "median_amount": 1850,
              "10th_percentile": 1850,
              "90th_percentile": 1850,
              "count": "1 through 10"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Duals",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "HMO",
              "standard_charge_dollar": 1750,
              "methodology": "per diem",
              "median_amount": 1750,
              "10th_percentile": 1750,
              "90th_percentile": 1750,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "EPO",
              "standard_charge_dollar": 1750,
              "methodology": "per diem",
              "median_amount": 1750,
              "10th_percentile": 1750,
              "90th_percentile": 1750,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Indemnity",
              "standard_charge_dollar": 1750,
              "methodology": "per diem",
              "median_amount": 1750,
              "10th_percentile": 1750,
              "90th_percentile": 1750,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "POS",
              "standard_charge_dollar": 1750,
              "methodology": "per diem",
              "median_amount": 1750,
              "10th_percentile": 1750,
              "90th_percentile": 1750,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "PPO",
              "standard_charge_dollar": 1750,
              "methodology": "per diem",
              "median_amount": 1750,
              "10th_percentile": 1750,
              "90th_percentile": 1750,
              "count": "1 through 10"
            },
            {
              "payer_name": "Paradigm Specialty Networks fka AdvaNet",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Paradigm Specialty Networks fka AdvaNet",
              "plan_name": "Other Long-term Care Products",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Paradigm Specialty Networks fka AdvaNet",
              "plan_name": "No Fault",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Paradigm Specialty Networks fka AdvaNet",
              "plan_name": "Liability",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Paradigm Specialty Networks fka AdvaNet",
              "plan_name": "Auto Liability",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_dollar": 1300,
              "methodology": "per diem",
              "median_amount": 1300,
              "10th_percentile": 1300,
              "90th_percentile": 1300,
              "count": "1 through 10"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "median_amount": 2096.8,
              "10th_percentile": 2096.8,
              "90th_percentile": 2096.8,
              "count": "66"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_dollar": 1800,
              "methodology": "per diem",
              "median_amount": 1800,
              "10th_percentile": 1800,
              "90th_percentile": 1800,
              "count": "1 through 10"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Regence BlueShield of Idaho",
              "plan_name": "LTACH - Participating Network",
              "standard_charge_dollar": 1504,
              "methodology": "per diem",
              "median_amount": 1504,
              "10th_percentile": 1504,
              "90th_percentile": 1504,
              "count": "1 through 10"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Cigna Health and Life Insurance Company",
              "plan_name": "PPO",
              "standard_charge_dollar": 2163,
              "methodology": "per diem",
              "median_amount": 2163,
              "10th_percentile": 2163,
              "90th_percentile": 2163,
              "count": "1 through 10"
            },
            {
              "payer_name": "Cigna Health and Life Insurance Company",
              "plan_name": "HMO",
              "standard_charge_dollar": 2163,
              "methodology": "per diem",
              "median_amount": 2163,
              "10th_percentile": 2163,
              "90th_percentile": 2163,
              "count": "1 through 10"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Montana Health Cooperative dba Mountain Health Co-Op HPN Product",
              "plan_name": "Idaho ENGAGE",
              "standard_charge_dollar": 2025,
              "methodology": "per diem",
              "median_amount": 2025,
              "10th_percentile": 2025,
              "90th_percentile": 2025,
              "count": "1 through 10"
            }
          ],
          "minimum": 1300,
          "maximum": 2227.85
        }
      ]
    },
    {
      "description": "Room & Board - Private (One Bed) - Medical/Surgical/GYN",
      "code_information": [
        {
          "code": "0111",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Duals",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Paradigm Specialty Networks fka AdvaNet",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Paradigm Specialty Networks fka AdvaNet",
              "plan_name": "Other Long-term Care Products",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Paradigm Specialty Networks fka AdvaNet",
              "plan_name": "No Fault",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Paradigm Specialty Networks fka AdvaNet",
              "plan_name": "Liability",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Paradigm Specialty Networks fka AdvaNet",
              "plan_name": "Auto Liability",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_dollar": 1300,
              "methodology": "per diem",
              "median_amount": 1300,
              "10th_percentile": 1300,
              "90th_percentile": 1300,
              "count": "1 through 10"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_dollar": 1800,
              "methodology": "per diem",
              "median_amount": 1800,
              "10th_percentile": 1800,
              "90th_percentile": 1800,
              "count": "1 through 10"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "HMO",
              "standard_charge_dollar": 1688,
              "methodology": "per diem",
              "median_amount": 1688,
              "10th_percentile": 1688,
              "90th_percentile": 1688,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "EPO",
              "standard_charge_dollar": 1688,
              "methodology": "per diem",
              "median_amount": 1688,
              "10th_percentile": 1688,
              "90th_percentile": 1688,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Indemnity",
              "standard_charge_dollar": 1688,
              "methodology": "per diem",
              "median_amount": 1688,
              "10th_percentile": 1688,
              "90th_percentile": 1688,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "POS",
              "standard_charge_dollar": 1688,
              "methodology": "per diem",
              "median_amount": 1688,
              "10th_percentile": 1688,
              "90th_percentile": 1688,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "PPO",
              "standard_charge_dollar": 1688,
              "methodology": "per diem",
              "median_amount": 1688,
              "10th_percentile": 1688,
              "90th_percentile": 1688,
              "count": "1 through 10"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Regence BlueShield of Idaho",
              "plan_name": "LTACH - Participating Network",
              "standard_charge_dollar": 1402,
              "methodology": "per diem",
              "median_amount": 1402,
              "10th_percentile": 1402,
              "90th_percentile": 1402,
              "count": "1 through 10"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 1300,
          "maximum": 1800
        }
      ]
    },
    {
      "description": "Intensive Care Unit - General Classification",
      "code_information": [
        {
          "code": "0200",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Commercial Networks and Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Qualified Employer Plan",
              "standard_charge_dollar": 1935,
              "methodology": "per diem",
              "median_amount": 1935,
              "10th_percentile": 1935,
              "90th_percentile": 1935,
              "count": "1 through 10"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Qualified Health Plan (ACA)",
              "standard_charge_dollar": 1935,
              "methodology": "per diem",
              "median_amount": 1935,
              "10th_percentile": 1935,
              "90th_percentile": 1935,
              "count": "1 through 10"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Managed-Care POS",
              "standard_charge_dollar": 2150,
              "methodology": "per diem",
              "median_amount": 2150,
              "10th_percentile": 2150,
              "90th_percentile": 2150,
              "count": "1 through 10"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "PPO",
              "standard_charge_dollar": 2150,
              "methodology": "per diem",
              "median_amount": 2150,
              "10th_percentile": 2150,
              "90th_percentile": 2150,
              "count": "1 through 10"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Traditional",
              "standard_charge_dollar": 2150,
              "methodology": "per diem",
              "median_amount": 2150,
              "10th_percentile": 2150,
              "90th_percentile": 2150,
              "count": "1 through 10"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Regence BlueShield of Idaho",
              "plan_name": "LTACH - Participating Network",
              "standard_charge_dollar": 1820,
              "methodology": "per diem",
              "median_amount": 1820,
              "10th_percentile": 1820,
              "90th_percentile": 1820,
              "count": "1 through 10"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Duals",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Paradigm Specialty Networks fka AdvaNet",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Paradigm Specialty Networks fka AdvaNet",
              "plan_name": "Other Long-term Care Products",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Paradigm Specialty Networks fka AdvaNet",
              "plan_name": "No Fault",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Paradigm Specialty Networks fka AdvaNet",
              "plan_name": "Liability",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Paradigm Specialty Networks fka AdvaNet",
              "plan_name": "Auto Liability",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_dollar": 1300,
              "methodology": "per diem",
              "median_amount": 1300,
              "10th_percentile": 1300,
              "90th_percentile": 1300,
              "count": "1 through 10"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "median_amount": 2696,
              "10th_percentile": 2696,
              "90th_percentile": 2696,
              "count": "16"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_dollar": 1800,
              "methodology": "per diem",
              "median_amount": 1800,
              "10th_percentile": 1800,
              "90th_percentile": 1800,
              "count": "1 through 10"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "HMO",
              "standard_charge_dollar": 2252,
              "methodology": "per diem",
              "median_amount": 2252,
              "10th_percentile": 2252,
              "90th_percentile": 2252,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "EPO",
              "standard_charge_dollar": 2252,
              "methodology": "per diem",
              "median_amount": 2252,
              "10th_percentile": 2252,
              "90th_percentile": 2252,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Indemnity",
              "standard_charge_dollar": 2252,
              "methodology": "per diem",
              "median_amount": 2252,
              "10th_percentile": 2252,
              "90th_percentile": 2252,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "POS",
              "standard_charge_dollar": 2252,
              "methodology": "per diem",
              "median_amount": 2252,
              "10th_percentile": 2252,
              "90th_percentile": 2252,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "PPO",
              "standard_charge_dollar": 2252,
              "methodology": "per diem",
              "median_amount": 2252,
              "10th_percentile": 2252,
              "90th_percentile": 2252,
              "count": "1 through 10"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Cigna Health and Life Insurance Company",
              "plan_name": "PPO",
              "standard_charge_dollar": 2487,
              "methodology": "per diem",
              "median_amount": 2487,
              "10th_percentile": 2487,
              "90th_percentile": 2487,
              "count": "1 through 10"
            },
            {
              "payer_name": "Cigna Health and Life Insurance Company",
              "plan_name": "HMO",
              "standard_charge_dollar": 2487,
              "methodology": "per diem",
              "median_amount": 2487,
              "10th_percentile": 2487,
              "90th_percentile": 2487,
              "count": "1 through 10"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Montana Health Cooperative dba Mountain Health Co-Op HPN Product",
              "plan_name": "Idaho ENGAGE",
              "standard_charge_dollar": 2525,
              "methodology": "per diem",
              "median_amount": 2525,
              "10th_percentile": 2525,
              "90th_percentile": 2525,
              "count": "1 through 10"
            }
          ],
          "minimum": 1300,
          "maximum": 2696
        }
      ]
    },
    {
      "description": "Complex Aortic Arch Procedures",
      "code_information": [
        {
          "code": "209",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Concomitant Aortic and Mitral Valve Procedures",
      "code_information": [
        {
          "code": "212",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Endovascular Abdominal Aorta with Iliac Branch Procedures",
      "code_information": [
        {
          "code": "213",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Heart Assist System Implant",
      "code_information": [
        {
          "code": "215",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with MCC",
      "code_information": [
        {
          "code": "216",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with CC",
      "code_information": [
        {
          "code": "217",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization without CC/MCC",
      "code_information": [
        {
          "code": "218",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Room & Board - Private (One Bed) - Rehabilitation",
      "code_information": [
        {
          "code": "0118",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Duals",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Paradigm Specialty Networks fka AdvaNet",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Paradigm Specialty Networks fka AdvaNet",
              "plan_name": "Other Long-term Care Products",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Paradigm Specialty Networks fka AdvaNet",
              "plan_name": "No Fault",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Paradigm Specialty Networks fka AdvaNet",
              "plan_name": "Liability",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Paradigm Specialty Networks fka AdvaNet",
              "plan_name": "Auto Liability",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_dollar": 1300,
              "methodology": "per diem",
              "median_amount": 1300,
              "10th_percentile": 1300,
              "90th_percentile": 1300,
              "count": "1 through 10"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 1300,
          "maximum": 1300
        }
      ]
    },
    {
      "description": "Coronary Care Unit - Intermediate CCU",
      "code_information": [
        {
          "code": "0214",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "HMO",
              "standard_charge_dollar": 1750,
              "methodology": "per diem",
              "median_amount": 1750,
              "10th_percentile": 1750,
              "90th_percentile": 1750,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "EPO",
              "standard_charge_dollar": 1750,
              "methodology": "per diem",
              "median_amount": 1750,
              "10th_percentile": 1750,
              "90th_percentile": 1750,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Indemnity",
              "standard_charge_dollar": 1750,
              "methodology": "per diem",
              "median_amount": 1750,
              "10th_percentile": 1750,
              "90th_percentile": 1750,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "POS",
              "standard_charge_dollar": 1750,
              "methodology": "per diem",
              "median_amount": 1750,
              "10th_percentile": 1750,
              "90th_percentile": 1750,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "PPO",
              "standard_charge_dollar": 1750,
              "methodology": "per diem",
              "median_amount": 1750,
              "10th_percentile": 1750,
              "90th_percentile": 1750,
              "count": "1 through 10"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Commercial",
              "standard_charge_dollar": 1300,
              "methodology": "per diem",
              "median_amount": 1300,
              "10th_percentile": 1300,
              "90th_percentile": 1300,
              "count": "1 through 10"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "PPO",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Regence BlueShield of Idaho",
              "plan_name": "LTACH - Participating Network",
              "standard_charge_dollar": 1504,
              "methodology": "per diem",
              "median_amount": 1504,
              "10th_percentile": 1504,
              "90th_percentile": 1504,
              "count": "1 through 10"
            },
            {
              "payer_name": "Cigna Health and Life Insurance Company",
              "plan_name": "PPO",
              "standard_charge_dollar": 2163,
              "methodology": "per diem",
              "median_amount": 2163,
              "10th_percentile": 2163,
              "90th_percentile": 2163,
              "count": "1 through 10"
            },
            {
              "payer_name": "Cigna Health and Life Insurance Company",
              "plan_name": "HMO",
              "standard_charge_dollar": 2163,
              "methodology": "per diem",
              "median_amount": 2163,
              "10th_percentile": 2163,
              "90th_percentile": 2163,
              "count": "1 through 10"
            }
          ],
          "minimum": 1300,
          "maximum": 2163
        }
      ]
    },
    {
      "description": "Heart Transplant or Implant of Heart Assist System with MCC",
      "code_information": [
        {
          "code": "1",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Duals",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Heart Transplant or Implant of Heart Assist System without MCC",
      "code_information": [
        {
          "code": "2",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "ECMO or Tracheostomy with MV >96 Hours or Principal Diagnosis Except Face, Mouth and Neck with Major O.R. Procedures",
      "code_information": [
        {
          "code": "3",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Tracheostomy with MV >96 Hours or Principal Diagnosis Except Face, Mouth and Neck without Major O.R. Procedures",
      "code_information": [
        {
          "code": "4",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Liver Transplant with MCC or Intestinal Transplant",
      "code_information": [
        {
          "code": "5",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Liver Transplant without MCC",
      "code_information": [
        {
          "code": "6",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Lung Transplant",
      "code_information": [
        {
          "code": "7",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Simultaneous Pancreas and Kidney Transplant",
      "code_information": [
        {
          "code": "8",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Pancreas Transplant",
      "code_information": [
        {
          "code": "10",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Duals",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with MCC",
      "code_information": [
        {
          "code": "11",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with CC",
      "code_information": [
        {
          "code": "12",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy without CC/MCC",
      "code_information": [
        {
          "code": "13",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Ear, Nose, Mouth and Throat Diagnoses without CC/MCC",
      "code_information": [
        {
          "code": "156",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Dental and Oral Diseases with MCC",
      "code_information": [
        {
          "code": "157",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Dental and Oral Diseases with CC",
      "code_information": [
        {
          "code": "158",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Dental and Oral Diseases without CC/MCC",
      "code_information": [
        {
          "code": "159",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Major Chest Procedures with MCC",
      "code_information": [
        {
          "code": "163",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Major Chest Procedures with CC",
      "code_information": [
        {
          "code": "164",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Major Chest Procedures without CC/MCC",
      "code_information": [
        {
          "code": "165",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Respiratory System O.R. Procedures with MCC",
      "code_information": [
        {
          "code": "166",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "median_amount": 107958.73,
              "10th_percentile": 107958.73,
              "90th_percentile": 115097.53,
              "count": "1 through 10"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "median_amount": 107958.73,
              "10th_percentile": 107958.73,
              "90th_percentile": 115097.53,
              "count": "1 through 10"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "median_amount": 56949.3,
              "10th_percentile": 35967.98,
              "90th_percentile": 115097.53,
              "count": "1 through 10"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "median_amount": 112795.58,
              "10th_percentile": 112795.58,
              "90th_percentile": 112795.58,
              "count": "1 through 10"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 56949.3,
          "maximum": 112795.58
        }
      ]
    },
    {
      "description": "Other Respiratory System O.R. Procedures with CC",
      "code_information": [
        {
          "code": "167",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Respiratory System O.R. Procedures without CC/MCC",
      "code_information": [
        {
          "code": "168",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolism",
      "code_information": [
        {
          "code": "173",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Pulmonary Embolism with MCC or Acute Cor Pulmonale",
      "code_information": [
        {
          "code": "175",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Pulmonary Embolism without MCC",
      "code_information": [
        {
          "code": "176",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Respiratory Infections and Inflammations with MCC*",
      "code_information": [
        {
          "code": "177",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "median_amount": 38266.5,
              "10th_percentile": 38266.5,
              "90th_percentile": 38266.5,
              "count": "1 through 10"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 38266.5,
          "maximum": 38266.5
        }
      ]
    },
    {
      "description": "Respiratory Infections and Inflammations with CC*",
      "code_information": [
        {
          "code": "178",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Respiratory Infections and Inflammations without CC/MCC*",
      "code_information": [
        {
          "code": "179",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Respiratory Neoplasms with MCC",
      "code_information": [
        {
          "code": "180",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Respiratory Neoplasms with CC",
      "code_information": [
        {
          "code": "181",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Respiratory Neoplasms without CC/MCC",
      "code_information": [
        {
          "code": "182",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Major Chest Trauma with MCC",
      "code_information": [
        {
          "code": "183",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Leave of Absence - General Classification",
      "code_information": [
        {
          "code": "0180",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "First Choice Health Network fka Health InfoNet",
              "plan_name": "PPO",
              "standard_charge_percentage": 70,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Duals",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Paradigm Specialty Networks fka AdvaNet",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Paradigm Specialty Networks fka AdvaNet",
              "plan_name": "Other Long-term Care Products",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Paradigm Specialty Networks fka AdvaNet",
              "plan_name": "No Fault",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Paradigm Specialty Networks fka AdvaNet",
              "plan_name": "Liability",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Paradigm Specialty Networks fka AdvaNet",
              "plan_name": "Auto Liability",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "National Comp Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_dollar": 1800,
              "methodology": "per diem",
              "median_amount": 1800,
              "10th_percentile": 1800,
              "90th_percentile": 1800,
              "count": "1 through 10"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 1800,
          "maximum": 1800
        }
      ]
    },
    {
      "description": "Seizures with MCC",
      "code_information": [
        {
          "code": "100",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "median_amount": 43290.28,
              "10th_percentile": 43290.28,
              "90th_percentile": 43290.28,
              "count": "1 through 10"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Duals",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 43290.28,
          "maximum": 43290.28
        }
      ]
    },
    {
      "description": "Seizures without MCC",
      "code_information": [
        {
          "code": "101",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Duals",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Headaches with MCC*",
      "code_information": [
        {
          "code": "102",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Duals",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Malignancy, Male Reproductive System with MCC",
      "code_information": [
        {
          "code": "722",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Malignancy, Male Reproductive System with CC",
      "code_information": [
        {
          "code": "723",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Malignancy, Male Reproductive System without CC/MCC",
      "code_information": [
        {
          "code": "724",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Benign Prostatic Hypertrophy with MCC",
      "code_information": [
        {
          "code": "725",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Benign Prostatic Hypertrophy without MCC",
      "code_information": [
        {
          "code": "726",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Inflammation of the Male Reproductive System with MCC",
      "code_information": [
        {
          "code": "727",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Inflammation of the Male Reproductive System without MCC",
      "code_information": [
        {
          "code": "728",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Male Reproductive System Diagnoses with CC/MCC",
      "code_information": [
        {
          "code": "729",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Male Reproductive System Diagnoses without CC/MCC",
      "code_information": [
        {
          "code": "730",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Pelvic Evisceration, Radical Hysterectomy and Radical Vulvectomy with CC/MCC",
      "code_information": [
        {
          "code": "734",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Pelvic Evisceration, Radical Hysterectomy and Radical Vulvectomy without CC/MCC",
      "code_information": [
        {
          "code": "735",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Uterine and Adnexa Procedures for Ovarian or Adnexal Malignancy with MCC",
      "code_information": [
        {
          "code": "736",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Uterine and Adnexa Procedures for Ovarian or Adnexal Malignancy with CC",
      "code_information": [
        {
          "code": "737",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Uterine and Adnexa Procedures for Ovarian or Adnexal Malignancy without CC/MCC",
      "code_information": [
        {
          "code": "738",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with MCC",
      "code_information": [
        {
          "code": "739",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with CC",
      "code_information": [
        {
          "code": "740",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy without CC/MCC",
      "code_information": [
        {
          "code": "741",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Uterine and Adnexa Procedures for Non-Malignancy with CC/MCC",
      "code_information": [
        {
          "code": "742",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Uterine and Adnexa Procedures for Non-Malignancy without CC/MCC",
      "code_information": [
        {
          "code": "743",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "D&C, Conization, Laparoscopy and Tubal Interruption with CC/MCC",
      "code_information": [
        {
          "code": "744",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "D&C, Conization, Laparoscopy and Tubal Interruption without CC/MCC",
      "code_information": [
        {
          "code": "745",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Vagina, Cervix and Vulva Procedures with CC/MCC",
      "code_information": [
        {
          "code": "746",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Vagina, Cervix and Vulva Procedures without CC/MCC",
      "code_information": [
        {
          "code": "747",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Female Reproductive System Reconstructive Procedures",
      "code_information": [
        {
          "code": "748",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Female Reproductive System O.R. Procedures with CC/MCC",
      "code_information": [
        {
          "code": "749",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Female Reproductive System O.R. Procedures without CC/MCC",
      "code_information": [
        {
          "code": "750",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Malignancy, Female Reproductive System with MCC",
      "code_information": [
        {
          "code": "754",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Malignancy, Female Reproductive System with CC",
      "code_information": [
        {
          "code": "755",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Malignancy, Female Reproductive System without CC/MCC",
      "code_information": [
        {
          "code": "756",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Infections, Female Reproductive System with MCC*",
      "code_information": [
        {
          "code": "757",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Infections, Female Reproductive System with CC*",
      "code_information": [
        {
          "code": "758",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Infections, Female Reproductive System without CC/MCC*",
      "code_information": [
        {
          "code": "759",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Menstrual and Other Female Reproductive System Disorders with CC/MCC",
      "code_information": [
        {
          "code": "760",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Menstrual and Other Female Reproductive System Disorders without CC/MCC",
      "code_information": [
        {
          "code": "761",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Vaginal Delivery with O.R. Procedures Except Sterilization and/or D&C",
      "code_information": [
        {
          "code": "768",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Postpartum and Post Abortion Diagnoses with O.R. Procedures",
      "code_information": [
        {
          "code": "769",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Abortion with D&C, Aspiration Curettage or Hysterotomy",
      "code_information": [
        {
          "code": "770",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Postpartum and Post Abortion Diagnoses without O.R. Procedures",
      "code_information": [
        {
          "code": "776",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Abortion without D&C",
      "code_information": [
        {
          "code": "779",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Cesarean Section with Sterilization with MCC",
      "code_information": [
        {
          "code": "783",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Cesarean Section with Sterilization with CC",
      "code_information": [
        {
          "code": "784",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Headaches without MCC*",
      "code_information": [
        {
          "code": "103",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Duals",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "INJECTION, ADALIMUMAB, 20 MG",
      "code_information": [
        {
          "code": "J0135",
          "type": "HCPCS"
        },
        {
          "code": "00074-0124-02",
          "type": "NDC"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ],
      "drug_information": {
        "unit": 2,
        "type": "EA"
      }
    },
    {
      "description": "Inj ivig privigen 500 mg",
      "code_information": [
        {
          "code": "J1459",
          "type": "HCPCS"
        },
        {
          "code": "44206-0436-05",
          "type": "NDC"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Coventry Health Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 105,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Coventry Health Care",
              "plan_name": "Auto Medical",
              "standard_charge_percentage": 105,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ],
      "drug_information": {
        "unit": 1,
        "type": "ML"
      }
    },
    {
      "description": "Gamunex-c/gammaked",
      "code_information": [
        {
          "code": "J1561",
          "type": "HCPCS"
        },
        {
          "code": "13533-0800-12",
          "type": "NDC"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Coventry Health Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 105,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Coventry Health Care",
              "plan_name": "Auto Medical",
              "standard_charge_percentage": 105,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ],
      "drug_information": {
        "unit": 10,
        "type": "ML"
      }
    },
    {
      "description": "Octagam injection",
      "code_information": [
        {
          "code": "J1568",
          "type": "HCPCS"
        },
        {
          "code": "00069-6002-02",
          "type": "NDC"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Coventry Health Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 105,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Coventry Health Care",
              "plan_name": "Auto Medical",
              "standard_charge_percentage": 105,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ],
      "drug_information": {
        "unit": 20,
        "type": "ML"
      }
    },
    {
      "description": "Romiplostim injection",
      "code_information": [
        {
          "code": "J2796",
          "type": "HCPCS"
        },
        {
          "code": "55513-0221-01",
          "type": "NDC"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ],
      "drug_information": {
        "unit": 1,
        "type": "EA"
      }
    },
    {
      "description": "Alteplase recombinant",
      "code_information": [
        {
          "code": "J2997",
          "type": "HCPCS"
        },
        {
          "code": "50242-0041-10",
          "type": "NDC"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "POS",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "ERISA Products",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "PPO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Idaho Physicians Network (IPN)",
              "plan_name": "HMO",
              "standard_charge_percentage": 85,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Coventry Health Care",
              "plan_name": "Workers' Compensation",
              "standard_charge_percentage": 105,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Coventry Health Care",
              "plan_name": "Auto Medical",
              "standard_charge_percentage": 105,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ],
      "drug_information": {
        "unit": 10,
        "type": "EA"
      }
    },
    {
      "description": "Inpatient Renal Dialysis - General Classification",
      "code_information": [
        {
          "code": "0800",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Qualified Employer Plan",
              "standard_charge_dollar": 660,
              "methodology": "per diem",
              "median_amount": 660,
              "10th_percentile": 660,
              "90th_percentile": 660,
              "count": "1 through 10"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Qualified Health Plan (ACA)",
              "standard_charge_dollar": 660,
              "methodology": "per diem",
              "median_amount": 660,
              "10th_percentile": 660,
              "90th_percentile": 660,
              "count": "1 through 10"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Managed-Care POS",
              "standard_charge_dollar": 660,
              "methodology": "per diem",
              "median_amount": 660,
              "10th_percentile": 660,
              "90th_percentile": 660,
              "count": "1 through 10"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "PPO",
              "standard_charge_dollar": 660,
              "methodology": "per diem",
              "median_amount": 660,
              "10th_percentile": 660,
              "90th_percentile": 660,
              "count": "1 through 10"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Traditional",
              "standard_charge_dollar": 660,
              "methodology": "per diem",
              "median_amount": 660,
              "10th_percentile": 660,
              "90th_percentile": 660,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "HMO",
              "standard_charge_dollar": 490,
              "methodology": "fee schedule",
              "median_amount": 490,
              "10th_percentile": 490,
              "90th_percentile": 490,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "EPO",
              "standard_charge_dollar": 490,
              "methodology": "fee schedule",
              "median_amount": 490,
              "10th_percentile": 490,
              "90th_percentile": 490,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Indemnity",
              "standard_charge_dollar": 490,
              "methodology": "fee schedule",
              "median_amount": 490,
              "10th_percentile": 490,
              "90th_percentile": 490,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "POS",
              "standard_charge_dollar": 490,
              "methodology": "fee schedule",
              "median_amount": 490,
              "10th_percentile": 490,
              "90th_percentile": 490,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "PPO",
              "standard_charge_dollar": 490,
              "methodology": "fee schedule",
              "median_amount": 490,
              "10th_percentile": 490,
              "90th_percentile": 490,
              "count": "1 through 10"
            },
            {
              "payer_name": "Cigna Health and Life Insurance Company",
              "plan_name": "PPO",
              "standard_charge_dollar": 649,
              "methodology": "per diem",
              "median_amount": 649,
              "10th_percentile": 649,
              "90th_percentile": 649,
              "count": "1 through 10"
            },
            {
              "payer_name": "Cigna Health and Life Insurance Company",
              "plan_name": "HMO",
              "standard_charge_dollar": 649,
              "methodology": "per diem",
              "median_amount": 649,
              "10th_percentile": 649,
              "90th_percentile": 649,
              "count": "1 through 10"
            },
            {
              "payer_name": "Montana Health Cooperative dba Mountain Health Co-Op HPN Product",
              "plan_name": "Idaho ENGAGE",
              "standard_charge_dollar": 600,
              "methodology": "fee schedule",
              "median_amount": 600,
              "10th_percentile": 600,
              "90th_percentile": 600,
              "count": "1 through 10"
            }
          ],
          "minimum": 490,
          "maximum": 660
        }
      ]
    },
    {
      "description": "Cesarean Section with Sterilization without CC/MCC",
      "code_information": [
        {
          "code": "785",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Cesarean Section without Sterilization with MCC",
      "code_information": [
        {
          "code": "786",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Cesarean Section without Sterilization with CC",
      "code_information": [
        {
          "code": "787",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Cesarean Section without Sterilization without CC/MCC",
      "code_information": [
        {
          "code": "788",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Neonates, Died or Transferred to Another Acute Care Facility",
      "code_information": [
        {
          "code": "789",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Extreme Immaturity or Respiratory Distress Syndrome, Neonate",
      "code_information": [
        {
          "code": "790",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Prematurity with Major Problems",
      "code_information": [
        {
          "code": "791",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Prematurity without Major Problems",
      "code_information": [
        {
          "code": "792",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Full Term Neonate with Major Problems",
      "code_information": [
        {
          "code": "793",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY",
      "code_information": [
        {
          "code": "512",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY",
      "code_information": [
        {
          "code": "512",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY",
      "code_information": [
        {
          "code": "512",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA",
      "code_information": [
        {
          "code": "513",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA",
      "code_information": [
        {
          "code": "513",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Neonate with Other Significant Problems",
      "code_information": [
        {
          "code": "794",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Normal Newborn",
      "code_information": [
        {
          "code": "795",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Vaginal Delivery with Sterilization and/or D&C with MCC",
      "code_information": [
        {
          "code": "796",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Vaginal Delivery with Sterilization and/or D&C with CC",
      "code_information": [
        {
          "code": "797",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Vaginal Delivery with Sterilization and/or D&C without CC/MCC",
      "code_information": [
        {
          "code": "798",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Splenic Procedures with MCC",
      "code_information": [
        {
          "code": "799",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Splenic Procedures with CC",
      "code_information": [
        {
          "code": "800",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Splenic Procedures without CC/MCC",
      "code_information": [
        {
          "code": "801",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other O.R. Procedures of the Blood and Blood Forming Organs with MCC",
      "code_information": [
        {
          "code": "802",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other O.R. Procedures of the Blood and Blood Forming Organs with CC",
      "code_information": [
        {
          "code": "803",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other O.R. Procedures of the Blood and Blood Forming Organs without CC/MCC",
      "code_information": [
        {
          "code": "804",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Vaginal Delivery without Sterilization or D&C with MCC",
      "code_information": [
        {
          "code": "805",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Vaginal Delivery without Sterilization or D&C with CC",
      "code_information": [
        {
          "code": "806",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Vaginal Delivery without Sterilization or D&C without CC/MCC",
      "code_information": [
        {
          "code": "807",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulation Disorders with MCC",
      "code_information": [
        {
          "code": "808",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulation Disorders with CC",
      "code_information": [
        {
          "code": "809",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulation Disorders without CC/MCC",
      "code_information": [
        {
          "code": "810",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Red Blood Cell Disorders with MCC",
      "code_information": [
        {
          "code": "811",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Red Blood Cell Disorders without MCC",
      "code_information": [
        {
          "code": "812",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA",
      "code_information": [
        {
          "code": "513",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA",
      "code_information": [
        {
          "code": "513",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES",
      "code_information": [
        {
          "code": "514",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES",
      "code_information": [
        {
          "code": "514",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES",
      "code_information": [
        {
          "code": "514",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES",
      "code_information": [
        {
          "code": "514",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Coagulation Disorders",
      "code_information": [
        {
          "code": "813",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Reticuloendothelial and Immunity Disorders with MCC",
      "code_information": [
        {
          "code": "814",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Reticuloendothelial and Immunity Disorders with CC",
      "code_information": [
        {
          "code": "815",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Reticuloendothelial and Immunity Disorders without CC/MCC",
      "code_information": [
        {
          "code": "816",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Antepartum Diagnoses with O.R. Procedures with MCC",
      "code_information": [
        {
          "code": "817",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Antepartum Diagnoses with O.R. Procedures with CC",
      "code_information": [
        {
          "code": "818",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Antepartum Diagnoses with O.R. Procedures without CC/MCC",
      "code_information": [
        {
          "code": "819",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Lymphoma and Leukemia with Major O.R. Procedures with MCC",
      "code_information": [
        {
          "code": "820",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Lymphoma and Leukemia with Major O.R. Procedures with CC",
      "code_information": [
        {
          "code": "821",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Lymphoma and Leukemia with Major O.R. Procedures without CC/MCC",
      "code_information": [
        {
          "code": "822",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Lymphoma and Non-Acute Leukemia with Other Procedures with MCC",
      "code_information": [
        {
          "code": "823",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Lymphoma and Non-Acute Leukemia with Other Procedures with CC",
      "code_information": [
        {
          "code": "824",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Lymphoma and Non-Acute Leukemia with Other Procedures without CC/MCC",
      "code_information": [
        {
          "code": "825",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with MCC",
      "code_information": [
        {
          "code": "826",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with CC",
      "code_information": [
        {
          "code": "827",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures without CC/MCC",
      "code_information": [
        {
          "code": "828",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures with CC/MCC",
      "code_information": [
        {
          "code": "829",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures without CC/MCC",
      "code_information": [
        {
          "code": "830",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Antepartum Diagnoses without O.R. Procedures with MCC",
      "code_information": [
        {
          "code": "831",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Antepartum Diagnoses without O.R. Procedures with CC",
      "code_information": [
        {
          "code": "832",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Antepartum Diagnoses without O.R. Procedures without CC/MCC",
      "code_information": [
        {
          "code": "833",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Acute Leukemia with MCC",
      "code_information": [
        {
          "code": "834",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Acute Leukemia with CC",
      "code_information": [
        {
          "code": "835",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Acute Leukemia without CC/MCC",
      "code_information": [
        {
          "code": "836",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Chemotherapy with Acute Leukemia as Secondary Diagnosis or with High Dose Chemotherapy Agent with MCC",
      "code_information": [
        {
          "code": "837",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Chemotherapy with Acute Leukemia as Secondary Diagnosis with CC or High Dose Chemotherapy Agent",
      "code_information": [
        {
          "code": "838",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Chemotherapy with Acute Leukemia as Secondary Diagnosis without CC/MCC",
      "code_information": [
        {
          "code": "839",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Lymphoma and Non-Acute Leukemia with MCC*",
      "code_information": [
        {
          "code": "840",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Lymphoma and Non-Acute Leukemia with CC*",
      "code_information": [
        {
          "code": "841",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Lymphoma and Non-Acute Leukemia without CC/MCC*",
      "code_information": [
        {
          "code": "842",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses with MCC",
      "code_information": [
        {
          "code": "843",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses with CC",
      "code_information": [
        {
          "code": "844",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses without CC/MCC",
      "code_information": [
        {
          "code": "845",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Chemotherapy without Acute Leukemia as Secondary Diagnosis with MCC",
      "code_information": [
        {
          "code": "846",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Chemotherapy without Acute Leukemia as Secondary Diagnosis with CC",
      "code_information": [
        {
          "code": "847",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Chemotherapy without Acute Leukemia as Secondary Diagnosis without CC/MCC",
      "code_information": [
        {
          "code": "848",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Radiotherapy",
      "code_information": [
        {
          "code": "849",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Acute Leukemia with Other Procedures",
      "code_information": [
        {
          "code": "850",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Infectious and Parasitic Diseases with O.R. Procedures with MCC",
      "code_information": [
        {
          "code": "853",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Infectious and Parasitic Diseases with O.R. Procedures with CC",
      "code_information": [
        {
          "code": "854",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Infectious and Parasitic Diseases with O.R. Procedures without CC/MCC",
      "code_information": [
        {
          "code": "855",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Postoperative or Post-Traumatic Infections with O.R. Procedures with MCC*",
      "code_information": [
        {
          "code": "856",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "median_amount": 62004.49,
              "10th_percentile": 62004.49,
              "90th_percentile": 62004.49,
              "count": "1 through 10"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 62004.49,
          "maximum": 62004.49
        }
      ]
    },
    {
      "description": "Postoperative or Post-Traumatic Infections with O.R. Procedures with CC*",
      "code_information": [
        {
          "code": "857",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Postoperative or Post-Traumatic Infections with O.R. Procedures without CC/MCC*",
      "code_information": [
        {
          "code": "858",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Postoperative and Post-Traumatic Infections with MCC",
      "code_information": [
        {
          "code": "862",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "median_amount": 43050.4,
              "10th_percentile": 29994.13,
              "90th_percentile": 43050.4,
              "count": "1 through 10"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "median_amount": 56363.27,
              "10th_percentile": 56363.27,
              "90th_percentile": 56363.27,
              "count": "1 through 10"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 43050.4,
          "maximum": 56363.27
        }
      ]
    },
    {
      "description": "Postoperative and Post-Traumatic Infections without MCC",
      "code_information": [
        {
          "code": "863",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "median_amount": 28759.21,
              "10th_percentile": 28759.21,
              "90th_percentile": 28759.21,
              "count": "1 through 10"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 28759.21,
          "maximum": 28759.21
        }
      ]
    },
    {
      "description": "Fever and Inflammatory Conditions",
      "code_information": [
        {
          "code": "864",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Viral Illness with MCC",
      "code_information": [
        {
          "code": "865",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Viral Illness without MCC",
      "code_information": [
        {
          "code": "866",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Infectious and Parasitic Diseases Diagnoses with MCC",
      "code_information": [
        {
          "code": "867",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "median_amount": 16170.13,
              "10th_percentile": 16170.13,
              "90th_percentile": 16170.13,
              "count": "1 through 10"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 16170.13,
          "maximum": 16170.13
        }
      ]
    },
    {
      "description": "Other Infectious and Parasitic Diseases Diagnoses with CC",
      "code_information": [
        {
          "code": "868",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Infectious and Parasitic Diseases Diagnoses without CC/MCC",
      "code_information": [
        {
          "code": "869",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Septicemia or Severe Sepsis with MV >96 Hours",
      "code_information": [
        {
          "code": "870",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Septicemia or Severe Sepsis without MV >96 Hours with MCC",
      "code_information": [
        {
          "code": "871",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Septicemia or Severe Sepsis without MV >96 Hours without MCC",
      "code_information": [
        {
          "code": "872",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "O.R. Procedures with Principal Diagnosis of Mental Illness",
      "code_information": [
        {
          "code": "876",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Acute Adjustment Reaction and Psychosocial Dysfunction",
      "code_information": [
        {
          "code": "880",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Depressive Neuroses",
      "code_information": [
        {
          "code": "881",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Neuroses Except Depressive",
      "code_information": [
        {
          "code": "882",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Disorders of Personality and Impulse Control",
      "code_information": [
        {
          "code": "883",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Organic Disturbances and Intellectual Disability",
      "code_information": [
        {
          "code": "884",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Psychoses",
      "code_information": [
        {
          "code": "885",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Behavioral and Developmental Disorders",
      "code_information": [
        {
          "code": "886",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Mental Disorder Diagnoses",
      "code_information": [
        {
          "code": "887",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Alcohol, Drug Abuse or Dependence, Left AMA",
      "code_information": [
        {
          "code": "894",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy",
      "code_information": [
        {
          "code": "895",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with MCC",
      "code_information": [
        {
          "code": "896",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without MCC",
      "code_information": [
        {
          "code": "897",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Wound Debridements for Injuries with MCC",
      "code_information": [
        {
          "code": "901",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "median_amount": 22198.63,
              "10th_percentile": 22198.63,
              "90th_percentile": 22198.63,
              "count": "1 through 10"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 22198.63,
          "maximum": 22198.63
        }
      ]
    },
    {
      "description": "Wound Debridements for Injuries with CC",
      "code_information": [
        {
          "code": "902",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Wound Debridements for Injuries without CC/MCC",
      "code_information": [
        {
          "code": "903",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Skin Grafts for Injuries with CC/MCC",
      "code_information": [
        {
          "code": "904",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Skin Grafts for Injuries without CC/MCC",
      "code_information": [
        {
          "code": "905",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Hand Procedures for Injuries",
      "code_information": [
        {
          "code": "906",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other O.R. Procedures for Injuries with MCC*",
      "code_information": [
        {
          "code": "907",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other O.R. Procedures for Injuries with CC*",
      "code_information": [
        {
          "code": "908",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other O.R. Procedures for Injuries without CC/MCC*",
      "code_information": [
        {
          "code": "909",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Traumatic Injury with MCC",
      "code_information": [
        {
          "code": "913",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Traumatic Injury without MCC",
      "code_information": [
        {
          "code": "914",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Allergic Reactions with MCC",
      "code_information": [
        {
          "code": "915",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Allergic Reactions without MCC",
      "code_information": [
        {
          "code": "916",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Poisoning and Toxic Effects of Drugs with MCC*",
      "code_information": [
        {
          "code": "917",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Poisoning and Toxic Effects of Drugs without MCC*",
      "code_information": [
        {
          "code": "918",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Complications of Treatment with MCC*",
      "code_information": [
        {
          "code": "919",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "median_amount": 49972.84,
              "10th_percentile": 49972.84,
              "90th_percentile": 50719.52,
              "count": "1 through 10"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 49972.84,
          "maximum": 49972.84
        }
      ]
    },
    {
      "description": "Complications of Treatment with CC*",
      "code_information": [
        {
          "code": "920",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Complications of Treatment without CC/MCC*",
      "code_information": [
        {
          "code": "921",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Injury, Poisoning and Toxic Effect Diagnoses with MCC",
      "code_information": [
        {
          "code": "922",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Injury, Poisoning and Toxic Effect Diagnoses without MCC",
      "code_information": [
        {
          "code": "923",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Extensive Burns or Full Thickness Burns with MV >96 Hours with Skin Graft",
      "code_information": [
        {
          "code": "927",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Full Thickness Burn with Skin Graft or Inhalation Injury with CC/MCC",
      "code_information": [
        {
          "code": "928",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "HIV with Major Related Condition with MCC",
      "code_information": [
        {
          "code": "974",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "HIV with Major Related Condition with CC",
      "code_information": [
        {
          "code": "975",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "HIV with Major Related Condition without CC/MCC",
      "code_information": [
        {
          "code": "976",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "HIV with or without Other Related Condition",
      "code_information": [
        {
          "code": "977",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Extensive O.R. Procedures Unrelated to Principal Diagnosis with MCC",
      "code_information": [
        {
          "code": "981",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "median_amount": 115339.33,
              "10th_percentile": 115339.33,
              "90th_percentile": 115339.33,
              "count": "1 through 10"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 115339.33,
          "maximum": 115339.33
        }
      ]
    },
    {
      "description": "Extensive O.R. Procedures Unrelated to Principal Diagnosis with CC",
      "code_information": [
        {
          "code": "982",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Extensive O.R. Procedures Unrelated to Principal Diagnosis without CC/MCC",
      "code_information": [
        {
          "code": "983",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with MCC",
      "code_information": [
        {
          "code": "987",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with CC",
      "code_information": [
        {
          "code": "988",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis without CC/MCC",
      "code_information": [
        {
          "code": "989",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Principal Diagnosis Invalid as Discharge Diagnosis",
      "code_information": [
        {
          "code": "998",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Ungroupable",
      "code_information": [
        {
          "code": "999",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Spinal Procedures with CC or Spinal Neurostimulators",
      "code_information": [
        {
          "code": "29",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Spinal Procedures without CC/MCC",
      "code_information": [
        {
          "code": "30",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Ventricular Shunt Procedures with MCC",
      "code_information": [
        {
          "code": "31",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Ventricular Shunt Procedures with CC",
      "code_information": [
        {
          "code": "32",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Ventricular Shunt Procedures without CC/MCC",
      "code_information": [
        {
          "code": "33",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Carotid Artery Stent Procedures with MCC",
      "code_information": [
        {
          "code": "34",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Carotid Artery Stent Procedures with CC",
      "code_information": [
        {
          "code": "35",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Carotid Artery Stent Procedures without CC/MCC",
      "code_information": [
        {
          "code": "36",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Extracranial Procedures with MCC",
      "code_information": [
        {
          "code": "37",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Extracranial Procedures with CC",
      "code_information": [
        {
          "code": "38",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Extracranial Procedures without CC/MCC",
      "code_information": [
        {
          "code": "39",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC",
      "code_information": [
        {
          "code": "40",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Peripheral, Cranial Nerve and Other Nervous System Procedures with CC or Peripheral Neurostimulator",
      "code_information": [
        {
          "code": "41",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Peripheral, Cranial Nerve and Other Nervous System Procedures without CC/MCC",
      "code_information": [
        {
          "code": "42",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Spinal Disorders and Injuries with CC/MCC",
      "code_information": [
        {
          "code": "52",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Spinal Disorders and Injuries without CC/MCC",
      "code_information": [
        {
          "code": "53",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Nervous System Neoplasms with MCC*",
      "code_information": [
        {
          "code": "54",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Nervous System Neoplasms without MCC*",
      "code_information": [
        {
          "code": "55",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Degenerative Nervous System Disorders with MCC",
      "code_information": [
        {
          "code": "56",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Degenerative Nervous System Disorders without MCC",
      "code_information": [
        {
          "code": "57",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "median_amount": 8024.78,
              "10th_percentile": 8024.78,
              "90th_percentile": 8024.78,
              "count": "1 through 10"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 8024.78,
          "maximum": 8024.78
        }
      ]
    },
    {
      "description": "Multiple Sclerosis and Cerebellar Ataxia with MCC",
      "code_information": [
        {
          "code": "58",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Multiple Sclerosis and Cerebellar Ataxia with CC",
      "code_information": [
        {
          "code": "59",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Multiple Sclerosis and Cerebellar Ataxia without CC/MCC",
      "code_information": [
        {
          "code": "60",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent with MCC",
      "code_information": [
        {
          "code": "61",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent with CC",
      "code_information": [
        {
          "code": "62",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent without CC/MCC",
      "code_information": [
        {
          "code": "63",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Intracranial Hemorrhage or Cerebral Infarction with MCC",
      "code_information": [
        {
          "code": "64",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Intracranial Hemorrhage or Cerebral Infarction with CC or tPA in 24 Hours",
      "code_information": [
        {
          "code": "65",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Intracranial Hemorrhage or Cerebral Infarction without CC/MCC",
      "code_information": [
        {
          "code": "66",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Precerebral Occlusion without Infarction with MCC",
      "code_information": [
        {
          "code": "67",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Precerebral Occlusion without Infarction without MCC",
      "code_information": [
        {
          "code": "68",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Transient Ischemia without Thrombolytic",
      "code_information": [
        {
          "code": "69",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Cerebrovascular Disorders with MCC*",
      "code_information": [
        {
          "code": "70",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Cerebrovascular Disorders with CC*",
      "code_information": [
        {
          "code": "71",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Cerebrovascular Disorders without CC/MCC*",
      "code_information": [
        {
          "code": "72",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Cranial and Peripheral Nerve Disorders with MCC",
      "code_information": [
        {
          "code": "73",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Cranial and Peripheral Nerve Disorders without MCC",
      "code_information": [
        {
          "code": "74",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Viral Meningitis with CC/MCC",
      "code_information": [
        {
          "code": "75",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Viral Meningitis without CC/MCC",
      "code_information": [
        {
          "code": "76",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Nontraumatic Stupor and Coma with MCC",
      "code_information": [
        {
          "code": "80",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES",
      "code_information": [
        {
          "code": "517",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES",
      "code_information": [
        {
          "code": "517",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES",
      "code_information": [
        {
          "code": "517",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES",
      "code_information": [
        {
          "code": "517",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES",
      "code_information": [
        {
          "code": "518",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES",
      "code_information": [
        {
          "code": "518",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Single Level Spinal Fusion Except Cervical with MCC or Custom-Made Anatomically Designed Interbody Fusion Device",
      "code_information": [
        {
          "code": "450",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Single Level Spinal Fusion Except Cervical without MCC",
      "code_information": [
        {
          "code": "451",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Inpatient Renal Dialysis - Continuous Ambulatory Peritoneal Dialysis (CAPD)",
      "code_information": [
        {
          "code": "0803",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Qualified Employer Plan",
              "standard_charge_dollar": 660,
              "methodology": "per diem",
              "median_amount": 660,
              "10th_percentile": 660,
              "90th_percentile": 660,
              "count": "1 through 10"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Qualified Health Plan (ACA)",
              "standard_charge_dollar": 660,
              "methodology": "per diem",
              "median_amount": 660,
              "10th_percentile": 660,
              "90th_percentile": 660,
              "count": "1 through 10"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Managed-Care POS",
              "standard_charge_dollar": 660,
              "methodology": "per diem",
              "median_amount": 660,
              "10th_percentile": 660,
              "90th_percentile": 660,
              "count": "1 through 10"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "PPO",
              "standard_charge_dollar": 660,
              "methodology": "per diem",
              "median_amount": 660,
              "10th_percentile": 660,
              "90th_percentile": 660,
              "count": "1 through 10"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Traditional",
              "standard_charge_dollar": 660,
              "methodology": "per diem",
              "median_amount": 660,
              "10th_percentile": 660,
              "90th_percentile": 660,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "HMO",
              "standard_charge_dollar": 490,
              "methodology": "fee schedule",
              "median_amount": 490,
              "10th_percentile": 490,
              "90th_percentile": 490,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "EPO",
              "standard_charge_dollar": 490,
              "methodology": "fee schedule",
              "median_amount": 490,
              "10th_percentile": 490,
              "90th_percentile": 490,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Indemnity",
              "standard_charge_dollar": 490,
              "methodology": "fee schedule",
              "median_amount": 490,
              "10th_percentile": 490,
              "90th_percentile": 490,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "POS",
              "standard_charge_dollar": 490,
              "methodology": "fee schedule",
              "median_amount": 490,
              "10th_percentile": 490,
              "90th_percentile": 490,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "PPO",
              "standard_charge_dollar": 490,
              "methodology": "fee schedule",
              "median_amount": 490,
              "10th_percentile": 490,
              "90th_percentile": 490,
              "count": "1 through 10"
            },
            {
              "payer_name": "Cigna Health and Life Insurance Company",
              "plan_name": "PPO",
              "standard_charge_dollar": 649,
              "methodology": "per diem",
              "median_amount": 649,
              "10th_percentile": 649,
              "90th_percentile": 649,
              "count": "1 through 10"
            },
            {
              "payer_name": "Cigna Health and Life Insurance Company",
              "plan_name": "HMO",
              "standard_charge_dollar": 649,
              "methodology": "per diem",
              "median_amount": 649,
              "10th_percentile": 649,
              "90th_percentile": 649,
              "count": "1 through 10"
            },
            {
              "payer_name": "Montana Health Cooperative dba Mountain Health Co-Op HPN Product",
              "plan_name": "Idaho ENGAGE",
              "standard_charge_dollar": 600,
              "methodology": "fee schedule",
              "median_amount": 600,
              "10th_percentile": 600,
              "90th_percentile": 600,
              "count": "1 through 10"
            }
          ],
          "minimum": 490,
          "maximum": 660
        }
      ]
    },
    {
      "description": "Inpatient Renal Dialysis - Continuous Cycling Peritoneal Dialysis (CCPD)",
      "code_information": [
        {
          "code": "0804",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Qualified Employer Plan",
              "standard_charge_dollar": 660,
              "methodology": "per diem",
              "median_amount": 660,
              "10th_percentile": 660,
              "90th_percentile": 660,
              "count": "1 through 10"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Qualified Health Plan (ACA)",
              "standard_charge_dollar": 660,
              "methodology": "per diem",
              "median_amount": 660,
              "10th_percentile": 660,
              "90th_percentile": 660,
              "count": "1 through 10"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Managed-Care POS",
              "standard_charge_dollar": 660,
              "methodology": "per diem",
              "median_amount": 660,
              "10th_percentile": 660,
              "90th_percentile": 660,
              "count": "1 through 10"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "PPO",
              "standard_charge_dollar": 660,
              "methodology": "per diem",
              "median_amount": 660,
              "10th_percentile": 660,
              "90th_percentile": 660,
              "count": "1 through 10"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Traditional",
              "standard_charge_dollar": 660,
              "methodology": "per diem",
              "median_amount": 660,
              "10th_percentile": 660,
              "90th_percentile": 660,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "HMO",
              "standard_charge_dollar": 490,
              "methodology": "fee schedule",
              "median_amount": 490,
              "10th_percentile": 490,
              "90th_percentile": 490,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "EPO",
              "standard_charge_dollar": 490,
              "methodology": "fee schedule",
              "median_amount": 490,
              "10th_percentile": 490,
              "90th_percentile": 490,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Indemnity",
              "standard_charge_dollar": 490,
              "methodology": "fee schedule",
              "median_amount": 490,
              "10th_percentile": 490,
              "90th_percentile": 490,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "POS",
              "standard_charge_dollar": 490,
              "methodology": "fee schedule",
              "median_amount": 490,
              "10th_percentile": 490,
              "90th_percentile": 490,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "PPO",
              "standard_charge_dollar": 490,
              "methodology": "fee schedule",
              "median_amount": 490,
              "10th_percentile": 490,
              "90th_percentile": 490,
              "count": "1 through 10"
            },
            {
              "payer_name": "Cigna Health and Life Insurance Company",
              "plan_name": "PPO",
              "standard_charge_dollar": 649,
              "methodology": "per diem",
              "median_amount": 649,
              "10th_percentile": 649,
              "90th_percentile": 649,
              "count": "1 through 10"
            },
            {
              "payer_name": "Cigna Health and Life Insurance Company",
              "plan_name": "HMO",
              "standard_charge_dollar": 649,
              "methodology": "per diem",
              "median_amount": 649,
              "10th_percentile": 649,
              "90th_percentile": 649,
              "count": "1 through 10"
            },
            {
              "payer_name": "Montana Health Cooperative dba Mountain Health Co-Op HPN Product",
              "plan_name": "Idaho ENGAGE",
              "standard_charge_dollar": 600,
              "methodology": "fee schedule",
              "median_amount": 600,
              "10th_percentile": 600,
              "90th_percentile": 600,
              "count": "1 through 10"
            }
          ],
          "minimum": 490,
          "maximum": 660
        }
      ]
    },
    {
      "description": "Inpatient Renal Dialysis - Other",
      "code_information": [
        {
          "code": "0809",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Qualified Employer Plan",
              "standard_charge_dollar": 660,
              "methodology": "per diem",
              "median_amount": 660,
              "10th_percentile": 660,
              "90th_percentile": 660,
              "count": "1 through 10"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Qualified Health Plan (ACA)",
              "standard_charge_dollar": 660,
              "methodology": "per diem",
              "median_amount": 660,
              "10th_percentile": 660,
              "90th_percentile": 660,
              "count": "1 through 10"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Managed-Care POS",
              "standard_charge_dollar": 660,
              "methodology": "per diem",
              "median_amount": 660,
              "10th_percentile": 660,
              "90th_percentile": 660,
              "count": "1 through 10"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "PPO",
              "standard_charge_dollar": 660,
              "methodology": "per diem",
              "median_amount": 660,
              "10th_percentile": 660,
              "90th_percentile": 660,
              "count": "1 through 10"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Traditional",
              "standard_charge_dollar": 660,
              "methodology": "per diem",
              "median_amount": 660,
              "10th_percentile": 660,
              "90th_percentile": 660,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "HMO",
              "standard_charge_dollar": 490,
              "methodology": "fee schedule",
              "median_amount": 490,
              "10th_percentile": 490,
              "90th_percentile": 490,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "EPO",
              "standard_charge_dollar": 490,
              "methodology": "fee schedule",
              "median_amount": 490,
              "10th_percentile": 490,
              "90th_percentile": 490,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Indemnity",
              "standard_charge_dollar": 490,
              "methodology": "fee schedule",
              "median_amount": 490,
              "10th_percentile": 490,
              "90th_percentile": 490,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "POS",
              "standard_charge_dollar": 490,
              "methodology": "fee schedule",
              "median_amount": 490,
              "10th_percentile": 490,
              "90th_percentile": 490,
              "count": "1 through 10"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "PPO",
              "standard_charge_dollar": 490,
              "methodology": "fee schedule",
              "median_amount": 490,
              "10th_percentile": 490,
              "90th_percentile": 490,
              "count": "1 through 10"
            },
            {
              "payer_name": "Cigna Health and Life Insurance Company",
              "plan_name": "PPO",
              "standard_charge_dollar": 649,
              "methodology": "per diem",
              "median_amount": 649,
              "10th_percentile": 649,
              "90th_percentile": 649,
              "count": "1 through 10"
            },
            {
              "payer_name": "Cigna Health and Life Insurance Company",
              "plan_name": "HMO",
              "standard_charge_dollar": 649,
              "methodology": "per diem",
              "median_amount": 649,
              "10th_percentile": 649,
              "90th_percentile": 649,
              "count": "1 through 10"
            },
            {
              "payer_name": "Montana Health Cooperative dba Mountain Health Co-Op HPN Product",
              "plan_name": "Idaho ENGAGE",
              "standard_charge_dollar": 600,
              "methodology": "fee schedule",
              "median_amount": 600,
              "10th_percentile": 600,
              "90th_percentile": 600,
              "count": "1 through 10"
            }
          ],
          "minimum": 490,
          "maximum": 660
        }
      ]
    },
    {
      "description": "Simple Pneumonia and Pleurisy with MCC",
      "code_information": [
        {
          "code": "193",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "both",
          "payers_information": [
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC",
      "code_information": [
        {
          "code": "640",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "both",
          "payers_information": [
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Male Reproductive System Diagnoses with CC/MCC",
      "code_information": [
        {
          "code": "729",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "both",
          "payers_information": [
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Disorders of Nervous System with MCC",
      "code_information": [
        {
          "code": "091",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "both",
          "payers_information": [
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Hemodialysis - Outpatient or Home - General Classification",
      "code_information": [
        {
          "code": "0820",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "setting": "both",
          "payers_information": [
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Hemodialysis - Outpatient or Home - Hemodialysis Composite or Other Rate",
      "code_information": [
        {
          "code": "0821",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "setting": "both",
          "payers_information": [
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Hemodialysis - Outpatient or Home - Other OP Hemodialysis",
      "code_information": [
        {
          "code": "0829",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "setting": "both",
          "payers_information": [
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Peritoneal Dialysis - Outpatient or Home - Peritoneal/Composite or Other Rate",
      "code_information": [
        {
          "code": "0831",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "setting": "both",
          "payers_information": [
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Hemodialysis repeated eval",
      "code_information": [
        {
          "code": "90937",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "both",
          "payers_information": [
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Dialysis training incompl",
      "code_information": [
        {
          "code": "90993",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "both",
          "payers_information": [
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Unlisted dialysis procedure",
      "code_information": [
        {
          "code": "90999",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "both",
          "payers_information": [
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "VA CCN",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "CESAREAN SECTION WITH STERILIZATION",
      "code_information": [
        {
          "code": "539",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "CESAREAN SECTION WITH STERILIZATION",
      "code_information": [
        {
          "code": "539",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "CESAREAN SECTION WITH STERILIZATION",
      "code_information": [
        {
          "code": "539",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "CESAREAN SECTION WITH STERILIZATION",
      "code_information": [
        {
          "code": "539",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "CESAREAN SECTION WITHOUT STERILIZATION",
      "code_information": [
        {
          "code": "540",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "CESAREAN SECTION WITHOUT STERILIZATION",
      "code_information": [
        {
          "code": "540",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "CESAREAN SECTION WITHOUT STERILIZATION",
      "code_information": [
        {
          "code": "540",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "CESAREAN SECTION WITHOUT STERILIZATION",
      "code_information": [
        {
          "code": "540",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C",
      "code_information": [
        {
          "code": "541",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C",
      "code_information": [
        {
          "code": "541",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C",
      "code_information": [
        {
          "code": "541",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C",
      "code_information": [
        {
          "code": "541",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C",
      "code_information": [
        {
          "code": "542",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C",
      "code_information": [
        {
          "code": "542",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions with MCC",
      "code_information": [
        {
          "code": "456",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions with CC",
      "code_information": [
        {
          "code": "457",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions without CC/MCC",
      "code_information": [
        {
          "code": "458",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Bilateral or Multiple Major Joint Procedures of Lower Extremity with MCC",
      "code_information": [
        {
          "code": "461",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Bilateral or Multiple Major Joint Procedures of Lower Extremity without MCC",
      "code_information": [
        {
          "code": "462",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders with MCC",
      "code_information": [
        {
          "code": "463",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "median_amount": 62802.96,
              "10th_percentile": 62802.96,
              "90th_percentile": 63963.65,
              "count": "1 through 10"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 62802.96,
          "maximum": 62802.96
        }
      ]
    },
    {
      "description": "UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA",
      "code_information": [
        {
          "code": "519",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders with CC",
      "code_information": [
        {
          "code": "464",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders without CC/MCC",
      "code_information": [
        {
          "code": "465",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Revision of Hip or Knee Replacement with MCC",
      "code_information": [
        {
          "code": "466",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Revision of Hip or Knee Replacement with CC",
      "code_information": [
        {
          "code": "467",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Revision of Hip or Knee Replacement without CC/MCC",
      "code_information": [
        {
          "code": "468",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with MCC or Total Ankle Replacement",
      "code_information": [
        {
          "code": "469",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC",
      "code_information": [
        {
          "code": "470",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Cervical Spinal Fusion with MCC",
      "code_information": [
        {
          "code": "471",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Cervical Spinal Fusion with CC",
      "code_information": [
        {
          "code": "472",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Cervical Spinal Fusion without CC/MCC",
      "code_information": [
        {
          "code": "473",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Amputation for Musculoskeletal System and Connective Tissue Disorders with MCC",
      "code_information": [
        {
          "code": "474",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Amputation for Musculoskeletal System and Connective Tissue Disorders with CC",
      "code_information": [
        {
          "code": "475",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Amputation for Musculoskeletal System and Connective Tissue Disorders without CC/MCC",
      "code_information": [
        {
          "code": "476",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Biopsies of Musculoskeletal System and Connective Tissue with MCC",
      "code_information": [
        {
          "code": "477",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Biopsies of Musculoskeletal System and Connective Tissue with CC",
      "code_information": [
        {
          "code": "478",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Biopsies of Musculoskeletal System and Connective Tissue without CC/MCC",
      "code_information": [
        {
          "code": "479",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Hip and Femur Procedures Except Major Joint with MCC",
      "code_information": [
        {
          "code": "480",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Hip and Femur Procedures Except Major Joint with CC",
      "code_information": [
        {
          "code": "481",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Hip and Femur Procedures Except Major Joint without CC/MCC",
      "code_information": [
        {
          "code": "482",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Major Joint or Limb Reattachment Procedures of Upper Extremities",
      "code_information": [
        {
          "code": "483",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Knee Procedures with Principal Diagnosis of Infection with MCC",
      "code_information": [
        {
          "code": "485",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Knee Procedures with Principal Diagnosis of Infection with CC",
      "code_information": [
        {
          "code": "486",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Knee Procedures with Principal Diagnosis of Infection without CC/MCC",
      "code_information": [
        {
          "code": "487",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Knee Procedures without Principal Diagnosis of Infection with CC/MCC",
      "code_information": [
        {
          "code": "488",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Knee Procedures without Principal Diagnosis of Infection without CC/MCC",
      "code_information": [
        {
          "code": "489",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with MCC*",
      "code_information": [
        {
          "code": "492",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with CC*",
      "code_information": [
        {
          "code": "493",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Lower Extremity and Humerus Procedures Except Hip, Foot and Femur without CC/MCC*",
      "code_information": [
        {
          "code": "494",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Nontraumatic Stupor and Coma without MCC",
      "code_information": [
        {
          "code": "81",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Traumatic Stupor and Coma >1 Hour with MCC",
      "code_information": [
        {
          "code": "82",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Traumatic Stupor and Coma >1 Hour with CC",
      "code_information": [
        {
          "code": "83",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Traumatic Stupor and Coma >1 Hour without CC/MCC",
      "code_information": [
        {
          "code": "84",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Traumatic Stupor and Coma <1 Hour with MCC",
      "code_information": [
        {
          "code": "85",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Traumatic Stupor and Coma <1 Hour with CC",
      "code_information": [
        {
          "code": "86",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Traumatic Stupor and Coma <1 Hour without CC/MCC",
      "code_information": [
        {
          "code": "87",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA",
      "code_information": [
        {
          "code": "519",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA",
      "code_information": [
        {
          "code": "519",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Concussion with MCC",
      "code_information": [
        {
          "code": "88",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Concussion with CC",
      "code_information": [
        {
          "code": "89",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Concussion without CC/MCC",
      "code_information": [
        {
          "code": "90",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Disorders of Nervous System with MCC*",
      "code_information": [
        {
          "code": "91",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Disorders of Nervous System with CC*",
      "code_information": [
        {
          "code": "92",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Disorders of Nervous System without CC/MCC*",
      "code_information": [
        {
          "code": "93",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Bacterial and Tuberculous Infections of Nervous System with MCC",
      "code_information": [
        {
          "code": "94",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "median_amount": 55689.56,
              "10th_percentile": 55689.56,
              "90th_percentile": 55689.56,
              "count": "1 through 10"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 55689.56,
          "maximum": 55689.56
        }
      ]
    },
    {
      "description": "Bacterial and Tuberculous Infections of Nervous System with CC",
      "code_information": [
        {
          "code": "95",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Bacterial and Tuberculous Infections of Nervous System without CC/MCC",
      "code_information": [
        {
          "code": "96",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Non-Bacterial Infection of Nervous System Except Viral Meningitis with MCC",
      "code_information": [
        {
          "code": "97",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Non-Bacterial Infection of Nervous System Except Viral Meningitis with CC",
      "code_information": [
        {
          "code": "98",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Non-Bacterial Infection of Nervous System Except Viral Meningitis without CC/MCC",
      "code_information": [
        {
          "code": "99",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Orbital Procedures with CC/MCC",
      "code_information": [
        {
          "code": "113",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Orbital Procedures without CC/MCC",
      "code_information": [
        {
          "code": "114",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Extraocular Procedures Except Orbit",
      "code_information": [
        {
          "code": "115",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Intraocular Procedures with CC/MCC",
      "code_information": [
        {
          "code": "116",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Intraocular Procedures without CC/MCC",
      "code_information": [
        {
          "code": "117",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Acute Major Eye Infections with CC/MCC",
      "code_information": [
        {
          "code": "121",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Acute Major Eye Infections without CC/MCC",
      "code_information": [
        {
          "code": "122",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Neurological Eye Disorders",
      "code_information": [
        {
          "code": "123",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Disorders of the Eye with MCC or Thrombolytic Agent",
      "code_information": [
        {
          "code": "124",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Disorders of the Eye without MCC",
      "code_information": [
        {
          "code": "125",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "OTHER GYN PROCEDURES FOR MALIGNANCY",
      "code_information": [
        {
          "code": "520",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C",
      "code_information": [
        {
          "code": "542",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C",
      "code_information": [
        {
          "code": "542",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",
      "code_information": [
        {
          "code": "543",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",
      "code_information": [
        {
          "code": "543",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",
      "code_information": [
        {
          "code": "543",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",
      "code_information": [
        {
          "code": "543",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "ANTEPARTUM WITH O.R. PROCEDURE",
      "code_information": [
        {
          "code": "547",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "ANTEPARTUM WITH O.R. PROCEDURE",
      "code_information": [
        {
          "code": "547",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "ANTEPARTUM WITH O.R. PROCEDURE",
      "code_information": [
        {
          "code": "547",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "ANTEPARTUM WITH O.R. PROCEDURE",
      "code_information": [
        {
          "code": "547",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE",
      "code_information": [
        {
          "code": "548",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Pneumothorax without CC/MCC",
      "code_information": [
        {
          "code": "201",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Bronchitis and Asthma with CC/MCC",
      "code_information": [
        {
          "code": "202",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Bronchitis and Asthma without CC/MCC",
      "code_information": [
        {
          "code": "203",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Respiratory Signs and Symptoms",
      "code_information": [
        {
          "code": "204",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with MCC",
      "code_information": [
        {
          "code": "219",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with CC",
      "code_information": [
        {
          "code": "220",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization without CC/MCC",
      "code_information": [
        {
          "code": "221",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Cardiothoracic Procedures with MCC",
      "code_information": [
        {
          "code": "228",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Cardiothoracic Procedures without MCC",
      "code_information": [
        {
          "code": "229",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Coronary Bypass with PTCA with MCC",
      "code_information": [
        {
          "code": "231",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Coronary Bypass with PTCA without MCC",
      "code_information": [
        {
          "code": "232",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Coronary Bypass with Cardiac Catheterization or Open Ablation with MCC",
      "code_information": [
        {
          "code": "233",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Coronary Bypass with Cardiac Catheterization or Open Ablation without MCC",
      "code_information": [
        {
          "code": "234",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Coronary Bypass without Cardiac Catheterization with MCC",
      "code_information": [
        {
          "code": "235",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Coronary Bypass without Cardiac Catheterization without MCC",
      "code_information": [
        {
          "code": "236",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Amputation for Circulatory System Disorders Except Upper Limb and Toe with MCC",
      "code_information": [
        {
          "code": "239",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Amputation for Circulatory System Disorders Except Upper Limb and Toe with CC",
      "code_information": [
        {
          "code": "240",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Amputation for Circulatory System Disorders Except Upper Limb and Toe without CC/MCC",
      "code_information": [
        {
          "code": "241",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Permanent Cardiac Pacemaker Implant with MCC",
      "code_information": [
        {
          "code": "242",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Permanent Cardiac Pacemaker Implant with CC",
      "code_information": [
        {
          "code": "243",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Permanent Cardiac Pacemaker Implant without CC/MCC",
      "code_information": [
        {
          "code": "244",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "AICD Generator Procedures",
      "code_information": [
        {
          "code": "245",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Percutaneous Cardiovascular Procedures without Intraluminal Device with MCC",
      "code_information": [
        {
          "code": "250",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Percutaneous Cardiovascular Procedures without Intraluminal Device without MCC",
      "code_information": [
        {
          "code": "251",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Vascular Procedures with MCC",
      "code_information": [
        {
          "code": "252",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Vascular Procedures with CC",
      "code_information": [
        {
          "code": "253",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Vascular Procedures without CC/MCC",
      "code_information": [
        {
          "code": "254",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Upper Limb and Toe Amputation for Circulatory System Disorders with MCC",
      "code_information": [
        {
          "code": "255",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Upper Limb and Toe Amputation for Circulatory System Disorders with CC",
      "code_information": [
        {
          "code": "256",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Upper Limb and Toe Amputation for Circulatory System Disorders without CC/MCC",
      "code_information": [
        {
          "code": "257",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Cardiac Pacemaker Device Replacement with MCC",
      "code_information": [
        {
          "code": "258",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Cardiac Pacemaker Device Replacement without MCC",
      "code_information": [
        {
          "code": "259",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Cardiac Pacemaker Revision Except Device Replacement with MCC",
      "code_information": [
        {
          "code": "260",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Cardiac Pacemaker Revision Except Device Replacement with CC",
      "code_information": [
        {
          "code": "261",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Cardiac Pacemaker Revision Except Device Replacement without CC/MCC",
      "code_information": [
        {
          "code": "262",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Vein Ligation and Stripping",
      "code_information": [
        {
          "code": "263",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Circulatory System O.R. Procedures",
      "code_information": [
        {
          "code": "264",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "median_amount": 70263.78,
              "10th_percentile": 70263.78,
              "90th_percentile": 70263.78,
              "count": "1 through 10"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 70263.78,
          "maximum": 70263.78
        }
      ]
    },
    {
      "description": "AICD Lead Procedures",
      "code_information": [
        {
          "code": "265",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Endovascular Cardiac Valve Replacement and Supplement Procedures with MCC",
      "code_information": [
        {
          "code": "266",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Endovascular Cardiac Valve Replacement and Supplement Procedures without MCC",
      "code_information": [
        {
          "code": "267",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Aortic and Heart Assist Procedures Except Pulsation Balloon with MCC",
      "code_information": [
        {
          "code": "268",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Aortic and Heart Assist Procedures Except Pulsation Balloon without MCC",
      "code_information": [
        {
          "code": "269",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Major Cardiovascular Procedures with MCC",
      "code_information": [
        {
          "code": "270",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 90,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Major Cardiovascular Procedures with CC",
      "code_information": [
        {
          "code": "271",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Major Cardiovascular Procedures without CC/MCC",
      "code_information": [
        {
          "code": "272",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Percutaneous and Other Intracardiac Procedures with MCC",
      "code_information": [
        {
          "code": "273",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Percutaneous and Other Intracardiac Procedures without MCC",
      "code_information": [
        {
          "code": "274",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Cardiac Defibrillator Implant with Cardiac Catheterization and MCC",
      "code_information": [
        {
          "code": "275",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Cardiac Defibrillator Implant with MCC or Carotid Sinus Neurostimulator",
      "code_information": [
        {
          "code": "276",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Cardiac Defibrillator Implant without MCC",
      "code_information": [
        {
          "code": "277",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC",
      "code_information": [
        {
          "code": "278",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures without MCC",
      "code_information": [
        {
          "code": "279",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Acute Myocardial Infarction, Discharged Alive with MCC",
      "code_information": [
        {
          "code": "280",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Acute Myocardial Infarction, Discharged Alive with CC",
      "code_information": [
        {
          "code": "281",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Acute Myocardial Infarction, Discharged Alive without CC/MCC",
      "code_information": [
        {
          "code": "282",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Acute Myocardial Infarction, Expired with MCC",
      "code_information": [
        {
          "code": "283",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Acute Myocardial Infarction, Expired with CC",
      "code_information": [
        {
          "code": "284",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Acute Myocardial Infarction, Expired without CC/MCC",
      "code_information": [
        {
          "code": "285",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Circulatory Disorders Except AMI, with Cardiac Catheterization with MCC",
      "code_information": [
        {
          "code": "286",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Circulatory Disorders Except AMI, with Cardiac Catheterization without MCC",
      "code_information": [
        {
          "code": "287",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Acute and Subacute Endocarditis with MCC",
      "code_information": [
        {
          "code": "288",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "median_amount": 48336.88,
              "10th_percentile": 48336.88,
              "90th_percentile": 59356.35,
              "count": "1 through 10"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 48336.88,
          "maximum": 48336.88
        }
      ]
    },
    {
      "description": "Acute and Subacute Endocarditis with CC",
      "code_information": [
        {
          "code": "289",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Acute and Subacute Endocarditis without CC/MCC",
      "code_information": [
        {
          "code": "290",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Heart Failure and Shock with MCC*",
      "code_information": [
        {
          "code": "291",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Heart Failure and Shock with CC*",
      "code_information": [
        {
          "code": "292",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "median_amount": 25580.81,
              "10th_percentile": 25580.81,
              "90th_percentile": 25580.81,
              "count": "1 through 10"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "median_amount": 25580.81,
              "10th_percentile": 25580.81,
              "90th_percentile": 25580.81,
              "count": "1 through 10"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 25580.81,
          "maximum": 25580.81
        }
      ]
    },
    {
      "description": "Heart Failure and Shock without CC/MCC*",
      "code_information": [
        {
          "code": "293",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Cardiac Arrest, Unexplained with MCC",
      "code_information": [
        {
          "code": "296",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Cardiac Arrest, Unexplained with CC",
      "code_information": [
        {
          "code": "297",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Cardiac Arrest, Unexplained without CC/MCC",
      "code_information": [
        {
          "code": "298",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Peripheral Vascular Disorders with MCC",
      "code_information": [
        {
          "code": "299",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Peripheral Vascular Disorders with CC",
      "code_information": [
        {
          "code": "300",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Peripheral Vascular Disorders without CC/MCC",
      "code_information": [
        {
          "code": "301",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Atherosclerosis with MCC",
      "code_information": [
        {
          "code": "302",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Atherosclerosis without MCC",
      "code_information": [
        {
          "code": "303",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Hypertension with MCC",
      "code_information": [
        {
          "code": "304",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Hypertension without MCC",
      "code_information": [
        {
          "code": "305",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Cardiac Congenital and Valvular Disorders with MCC",
      "code_information": [
        {
          "code": "306",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Cardiac Congenital and Valvular Disorders without MCC",
      "code_information": [
        {
          "code": "307",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Cardiac Arrhythmia and Conduction Disorders with MCC",
      "code_information": [
        {
          "code": "308",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Cardiac Arrhythmia and Conduction Disorders with CC",
      "code_information": [
        {
          "code": "309",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Cardiac Arrhythmia and Conduction Disorders without CC/MCC",
      "code_information": [
        {
          "code": "310",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Angina Pectoris",
      "code_information": [
        {
          "code": "311",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Syncope and Collapse",
      "code_information": [
        {
          "code": "312",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Chest Pain",
      "code_information": [
        {
          "code": "313",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Circulatory System Diagnoses with MCC",
      "code_information": [
        {
          "code": "314",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "median_amount": 41672.93,
              "10th_percentile": 41672.93,
              "90th_percentile": 41672.93,
              "count": "1 through 10"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "median_amount": 10777.48,
              "10th_percentile": 10777.48,
              "90th_percentile": 41672.93,
              "count": "1 through 10"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 10777.48,
          "maximum": 41672.93
        }
      ]
    },
    {
      "description": "Other Circulatory System Diagnoses with CC",
      "code_information": [
        {
          "code": "315",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Circulatory System Diagnoses without CC/MCC",
      "code_information": [
        {
          "code": "316",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Concomitant Left Atrial Appendage Closure and Cardiac Ablation",
      "code_information": [
        {
          "code": "317",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Percutaneous Coronary Atherectomy without Intraluminal Device",
      "code_information": [
        {
          "code": "318",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Endovascular Cardiac Valve Procedures with MCC",
      "code_information": [
        {
          "code": "319",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Endovascular Cardiac Valve Procedures without MCC",
      "code_information": [
        {
          "code": "320",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Percutaneous Cardiovascular Procedures with Intraluminal Device with MCC or 4+ Arteries/Intraluminal Devices",
      "code_information": [
        {
          "code": "321",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC",
      "code_information": [
        {
          "code": "322",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Coronary Intravascular Lithotripsy with Intraluminal Device with MCC",
      "code_information": [
        {
          "code": "323",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Coronary Intravascular Lithotripsy with Intraluminal Device without MCC",
      "code_information": [
        {
          "code": "324",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Coronary Intravascular Lithotripsy without Intraluminal Device",
      "code_information": [
        {
          "code": "325",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Stomach, Esophageal and Duodenal Procedures with MCC",
      "code_information": [
        {
          "code": "326",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Stomach, Esophageal and Duodenal Procedures with CC",
      "code_information": [
        {
          "code": "327",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Stomach, Esophageal and Duodenal Procedures without CC/MCC",
      "code_information": [
        {
          "code": "328",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Major Small and Large Bowel Procedures with MCC",
      "code_information": [
        {
          "code": "329",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Major Small and Large Bowel Procedures with CC",
      "code_information": [
        {
          "code": "330",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Major Small and Large Bowel Procedures without CC/MCC",
      "code_information": [
        {
          "code": "331",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Rectal Resection with MCC",
      "code_information": [
        {
          "code": "332",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Rectal Resection with CC",
      "code_information": [
        {
          "code": "333",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Rectal Resection without CC/MCC",
      "code_information": [
        {
          "code": "334",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Peritoneal Adhesiolysis with MCC",
      "code_information": [
        {
          "code": "335",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Peritoneal Adhesiolysis with CC",
      "code_information": [
        {
          "code": "336",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Peritoneal Adhesiolysis without CC/MCC",
      "code_information": [
        {
          "code": "337",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Minor Small and Large Bowel Procedures with MCC",
      "code_information": [
        {
          "code": "344",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Minor Small and Large Bowel Procedures with CC",
      "code_information": [
        {
          "code": "345",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Minor Small and Large Bowel Procedures without CC/MCC",
      "code_information": [
        {
          "code": "346",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Anal and Stomal Procedures with MCC",
      "code_information": [
        {
          "code": "347",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Anal and Stomal Procedures with CC",
      "code_information": [
        {
          "code": "348",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Anal and Stomal Procedures without CC/MCC",
      "code_information": [
        {
          "code": "349",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Inguinal and Femoral Hernia Procedures with MCC",
      "code_information": [
        {
          "code": "350",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Inguinal and Femoral Hernia Procedures with CC",
      "code_information": [
        {
          "code": "351",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Inguinal and Femoral Hernia Procedures without CC/MCC",
      "code_information": [
        {
          "code": "352",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Hernia Procedures Except Inguinal and Femoral with MCC",
      "code_information": [
        {
          "code": "353",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Hernia Procedures Except Inguinal and Femoral with CC",
      "code_information": [
        {
          "code": "354",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Hernia Procedures Except Inguinal and Femoral without CC/MCC",
      "code_information": [
        {
          "code": "355",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Digestive System O.R. Procedures with MCC",
      "code_information": [
        {
          "code": "356",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "median_amount": 35563.03,
              "10th_percentile": 35563.03,
              "90th_percentile": 55371.08,
              "count": "1 through 10"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "median_amount": 69485.72,
              "10th_percentile": 69485.72,
              "90th_percentile": 69485.72,
              "count": "1 through 10"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 35563.03,
          "maximum": 69485.72
        }
      ]
    },
    {
      "description": "Other Digestive System O.R. Procedures with CC",
      "code_information": [
        {
          "code": "357",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Other Digestive System O.R. Procedures without CC/MCC",
      "code_information": [
        {
          "code": "358",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Percutaneous Coronary Atherectomy with Intraluminal Device with MCC",
      "code_information": [
        {
          "code": "359",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Percutaneous Coronary Atherectomy with Intraluminal Device without MCC",
      "code_information": [
        {
          "code": "360",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Major Esophageal Disorders with MCC*",
      "code_information": [
        {
          "code": "368",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Major Esophageal Disorders with CC*",
      "code_information": [
        {
          "code": "369",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Major Esophageal Disorders without CC/MCC*",
      "code_information": [
        {
          "code": "370",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Major Gastrointestinal Disorders and Peritoneal Infections with MCC*",
      "code_information": [
        {
          "code": "371",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "median_amount": 44939.76,
              "10th_percentile": 44939.76,
              "90th_percentile": 44939.76,
              "count": "1 through 10"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 44939.76,
          "maximum": 44939.76
        }
      ]
    },
    {
      "description": "Major Gastrointestinal Disorders and Peritoneal Infections with CC*",
      "code_information": [
        {
          "code": "372",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Major Gastrointestinal Disorders and Peritoneal Infections without CC/MCC*",
      "code_information": [
        {
          "code": "373",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Digestive Malignancy with MCC",
      "code_information": [
        {
          "code": "374",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Digestive Malignancy with CC",
      "code_information": [
        {
          "code": "375",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Digestive Malignancy without CC/MCC",
      "code_information": [
        {
          "code": "376",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE",
      "code_information": [
        {
          "code": "548",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE",
      "code_information": [
        {
          "code": "548",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE",
      "code_information": [
        {
          "code": "548",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Medicaid (State)",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicaid",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Gastrointestinal Hemorrhage with MCC",
      "code_information": [
        {
          "code": "377",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Gastrointestinal Hemorrhage with CC",
      "code_information": [
        {
          "code": "378",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Gastrointestinal Hemorrhage without CC/MCC",
      "code_information": [
        {
          "code": "379",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Complicated Peptic Ulcer with MCC",
      "code_information": [
        {
          "code": "380",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Complicated Peptic Ulcer with CC",
      "code_information": [
        {
          "code": "381",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Complicated Peptic Ulcer without CC/MCC",
      "code_information": [
        {
          "code": "382",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Uncomplicated Peptic Ulcer with MCC",
      "code_information": [
        {
          "code": "383",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Uncomplicated Peptic Ulcer without MCC",
      "code_information": [
        {
          "code": "384",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Inflammatory Bowel Disease with MCC",
      "code_information": [
        {
          "code": "385",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Inflammatory Bowel Disease with CC",
      "code_information": [
        {
          "code": "386",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Inflammatory Bowel Disease without CC/MCC",
      "code_information": [
        {
          "code": "387",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ]
        }
      ]
    },
    {
      "description": "Gastrointestinal Obstruction with MCC*",
      "code_information": [
        {
          "code": "388",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Blue Cross of Idaho Health Service",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Medicare (CMS)",
              "plan_name": "Medicare",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "median_amount": 5890.76,
              "10th_percentile": 5890.76,
              "90th_percentile": 5890.76,
              "count": "1 through 10"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Select",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "TriWest Healthcare Alliance Corporation",
              "plan_name": "TRICARE Prime",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "United Healthcare (UHC)",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Utah, dba Molina Healthcare of Idaho",
              "plan_name": "Medicare-Medicaid Coordinated Plan",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            }
          ],
          "minimum": 5890.76,
          "maximum": 5890.76
        }
      ]
    },
    {
      "description": "Gastrointestinal Obstruction with CC*",
      "code_information": [
        {
          "code": "389",
          "type": "LOCAL"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "Group Health Cooperative aka Kaiser WA",
              "plan_name": "Medicare PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Workers' Compensation Network",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Molina Marketplace (ACA)",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PFFS",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Humana Insurance Company",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Molina Healthcare of Washington",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Aetna Network Services",
              "plan_name": "Medicare Advantage",
              "standard_charge_percentage": 100,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage PPO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "PacificSource Health Plans",
              "plan_name": "Medicare Advantage HMO",
              "standard_charge_percentage": 103,
              "methodology": "fee schedule",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Primary Network",
              "standard_charge_percentage": 75,
              "methodology": "percent of total billed charges",
              "additional_payer_notes": "No claims data available for the lookback period",
              "count": "0"
            },
            {
              "payer_name": "Claritev fka MultiPlan",
              "plan_name": "Complementary Network",
              "standard_charge_percentage": 80,
              "methodolo