OREGON (SBE) | OR
| Medical (PMPM) | $18.00 |
|---|---|
| Dental (PMPM) | $3.10 |
| OFF-Exchange | |
| Notes | 90% |
WASHINGTON (SBE) | WA
| Medical (PMPM) | |
|---|---|
| Dental (PMPM) | |
| OFF-Exchange | $20.00 |
| Notes | 90% |
| Medical (PMPM) | $15.00 |
|---|---|
| Dental (PMPM) | $3:00 |
| OFF-Exchange | $3:00 |
| Notes | 90% |
| Medical (PMPM) | $18.00 |
|---|---|
| Dental (PMPM) | $3.10 |
| OFF-Exchange | |
| Notes | 90% |
| Medical (PMPM) | |
|---|---|
| Dental (PMPM) | |
| OFF-Exchange | $20.00 |
| Notes | 90% |
| Medical (PMPM) | $15.00 |
|---|---|
| Dental (PMPM) | $3:00 |
| OFF-Exchange | $3:00 |
| Notes | 90% |