|
Code: 10003
|
$98.74
|
|
Code: 10005
|
$98.74
|
|
Code: 10006
|
$109.71
|
|
Code: 10007
|
$109.71
|
|
Code: 10008
|
$109.71
|
|
Code: 10009
|
$126.17
|
|
Code: 10010
|
$126.17
|
|
Code: 10012
|
$126.17
|
|
Code: 10016
|
$191.31
|
|
Code: 10019
|
$57.94
|
|
Code: 10020
|
$57.94
|
|
Code: 10023
|
$139.89
|
|
Code: 10031X
|
$205.71
|
|
Code: 10037
|
$157.37
|
|
Code: 10038
|
$342.86
|
|
Code: 10039
|
$47.36
|
|
Code: 10047
|
$194.57
|
|
Code: 10049
|
$101.14
|
|
Code: 10050X
|
$194.57
|
|
Code: 10051
|
$98.74
|
|
Code: 10052
|
$98.74
|
|
Code: 10053
|
$98.74
|
|
Code: 10054
|
$98.74
|
|
Code: 10058X
|
$58.29
|