Hospital
$2,157.00
$754.95
$1,445.00
$2,549.00
$995.00
$1,095.00
$383.25
$2,086.00
$730.10
$795.00
$278.25
$1,651.00
$895.00
$313.25
$1,761.00
$616.35
$2,010.00
$703.50
