Non-discountable
$1,183.02
$414.06
$63.54
$22.24
$55.91
$19.57
$103.13
$809.37
$283.28
$124.56
$43.60
$250.12
$87.54
$301.78
$105.62
$642.59
$224.91
$25,384.14
$73.23
$25.63
$3,602.52
$1,260.88
