Exclusions

$130.84

$39.25

$130.84

$39.25

$66.75

$80.10

$80.10

$24.03

$163.54

$49.06

$153.53

$80.10

$24.03

$40.05

$120.15

$36.05

$86.78

$26.03

$40.05

$12.01