|
Code: 10047
|
$194.57
|
|
Code: 10071
|
$194.57
|
|
Code: 10072X
|
$337.41
|
|
Code: 10149
|
$178.29
|
|
Code: 10152
|
$360.00
|
|
Code: 10158
|
$603.53
|
|
Code: 10161
|
$360.00
|
|
Code: 10164
|
$293.41
|
|
Code: 10354
|
$387.18
|
|
Code: 10355
|
$338.57
|
|
Code: 10364
|
$2.60
|
|
Code: 10379
|
$29.26
|
|
Code: 10401X
|
$15.07
|
|
Code: 10508
|
$9.57
|
|
Code: 10509
|
$228.71
|
|
Code: 10510
|
$422.69
|
|
Code: 10511
|
$608.61
|