Exclusions

$270.07

$81.02

$76.79

$23.04

$9.27

$2.78

$279.34

$83.80

$279.34

$83.80

$13.24

$3.97

$33.10

$9.93

$33.10

$9.93

$87.38

$26.21

$33.10

$9.93

$117.83

$35.35

$195.94

$58.78