Outpatient Services - Insight Hospital & Medical Center
Services - Outpatient
Outpatient services
This section shows the number of patients visiting this facility for certain conditions or procedures. IDPH used data provided by the hospitals to calculate the charges . Your billable amount may vary greatly; always consult your physician or patient advocate.
All measures below are calculated for all patients unless otherwise specified.
Export| Major Diagnosis | Patients | Median Charge | ||||
|---|---|---|---|---|---|---|
|
Arthroscopy
-
|
Too few cases | |||||
DescriptionThe number of patients who received an Arthroscopy (CCS 149). Current Averages
Historical Data |
||||||
| Measure | Result | |||||
|
-
|
8 | $16,364.00 | ||||
|
-
|
21 | $17,333.40 | ||||
|
-
|
31 | $18,022.67 | ||||
|
-
|
32 | $13,922.52 | ||||
|
-
|
27 | $15,202.00 | ||||
|
-
|
38 | $15,973.33 | ||||
|
-
|
37 | $15,425.00 | ||||
|
-
|
40 | $13,504.13 | ||||
|
-
|
41 | $12,884.00 | ||||
|
-
|
54 | $10,489.56 | ||||
|
-
|
60 | $10,743.25 | ||||
|
-
|
50 | $9,994.50 | ||||
|
-
|
48 | $9,649.25 | ||||
|
-
|
95 | $9,173.35 | ||||
|
-
|
140 | $5,433.37 | ||||
|
-
|
134 | $5,096.06 | ||||
|
-
|
159 | $5,611.97 | ||||
|
-
|
183 | $6,238.99 | ||||
|
-
|
181 | $10,141.03 | ||||
|
-
|
174 | $9,863.38 | ||||
|
Bunionectomy
-
|
5 | $8,532.00 | ||||
DescriptionThe number of patients who received a Bunionectomy (CCS 143). Current Averages
Historical Data |
||||||
| Measure | Result | |||||
|
-
|
27 | $7,914.50 | ||||
|
-
|
50 | $6,774.00 | ||||
|
-
|
60 | $7,032.25 | ||||
|
-
|
68 | $6,793.00 | ||||
|
-
|
73 | $6,533.30 | ||||
|
-
|
68 | $6,997.04 | ||||
|
-
|
64 | $7,735.84 | ||||
|
-
|
98 | $7,415.39 | ||||
|
-
|
93 | $7,027.50 | ||||
|
-
|
58 | $6,635.96 | ||||
|
-
|
63 | $6,863.53 | ||||
|
-
|
62 | $6,866.00 | ||||
|
-
|
71 | $6,572.00 | ||||
|
-
|
90 | $5,505.14 | ||||
|
-
|
83 | $5,662.00 | ||||
|
-
|
42 | $6,731.83 | ||||
|
-
|
96 | $5,938.00 | ||||
|
-
|
99 | $5,856.00 | ||||
|
-
|
87 | $6,271.50 | ||||
|
-
|
81 | $6,162.00 | ||||
|
Cardiac Catheterization
-
|
5 | $27,114.00 | ||||
DescriptionThe number of patients who received Diagnostic Cardiac Catheterization (CCS 47) Current Averages
Historical Data |
||||||
| Measure | Result | |||||
|
-
|
30 | $14,229.50 | ||||
|
-
|
53 | $15,731.02 | ||||
|
-
|
82 | $15,399.00 | ||||
|
-
|
160 | $16,196.96 | ||||
|
-
|
154 | $16,510.50 | ||||
|
-
|
90 | $23,419.99 | ||||
|
-
|
58 | $26,198.10 | ||||
|
-
|
38 | $21,871.28 | ||||
|
-
|
46 | $21,671.50 | ||||
|
-
|
33 | $21,242.60 | ||||
|
-
|
54 | $18,363.50 | ||||
|
-
|
132 | $14,517.50 | ||||
|
-
|
148 | $13,790.00 | ||||
|
-
|
233 | $14,646.00 | ||||
|
-
|
240 | $13,567.50 | ||||
|
-
|
240 | $13,264.50 | ||||
|
-
|
314 | $12,274.50 | ||||
|
-
|
350 | $12,448.50 | ||||
|
-
|
377 | $10,199.00 | ||||
|
-
|
347 | $10,225.00 | ||||
|
Colonoscopy
-
|
334 | $2,528.00 | ||||
DescriptionThe number of patients who received a Colonoscopy with Biopsy (CCS 76). Current Averages
Historical Data |
||||||
| Measure | Result | |||||
|
-
|
1,014 | $2,378.00 | ||||
|
-
|
1,601 | $2,341.00 | ||||
|
-
|
1,705 | $2,336.00 | ||||
|
-
|
1,724 | $3,414.63 | ||||
|
-
|
1,932 | $3,417.60 | ||||
|
-
|
2,215 | $3,419.73 | ||||
|
-
|
2,026 | $3,418.42 | ||||
|
-
|
1,953 | $3,402.80 | ||||
|
-
|
1,977 | $3,398.75 | ||||
|
-
|
1,659 | $3,064.75 | ||||
|
-
|
1,462 | $3,033.00 | ||||
|
-
|
1,391 | $2,959.00 | ||||
|
-
|
1,661 | $2,944.00 | ||||
|
-
|
2,328 | $2,945.00 | ||||
|
-
|
2,259 | $2,906.00 | ||||
|
-
|
2,007 | $2,174.00 | ||||
|
-
|
2,125 | $2,151.00 | ||||
|
-
|
2,365 | $2,151.00 | ||||
|
-
|
2,473 | $2,128.00 | ||||
|
-
|
2,216 | $1,775.00 | ||||
|
Diagnostic procedures, male genital
-
|
6 | $7,830.50 | ||||
DescriptionThe number of Patients who received diagnostic procedures, male genital (CCS 116) Current Averages
Historical Data |
||||||
| Measure | Result | |||||
|
-
|
9 | $7,557.00 | ||||
|
-
|
14 | $7,015.50 | ||||
|
-
|
14 | $7,002.90 | ||||
|
-
|
15 | $7,577.00 | ||||
|
-
|
17 | $7,631.40 | ||||
|
-
|
18 | $7,338.00 | ||||
|
-
|
12 | $7,338.00 | ||||
|
-
|
19 | $7,357.00 | ||||
|
-
|
26 | $7,262.50 | ||||
|
-
|
25 | $6,667.00 | ||||
|
-
|
21 | $6,502.23 | ||||
|
-
|
15 | $6,231.23 | ||||
|
-
|
18 | $6,150.00 | ||||
|
-
|
26 | $6,053.50 | ||||
|
-
|
31 | $5,911.00 | ||||
|
-
|
20 | $5,980.00 | ||||
|
-
|
26 | $5,658.76 | ||||
|
-
|
27 | $5,681.52 | ||||
|
-
|
18 | $5,305.00 | ||||
|
-
|
17 | $4,735.00 | ||||
|
Knee Cartilage Excision
-
|
25 | $6,714.00 | ||||
DescriptionThe number of patients who received an Excision of Semilunar Knee Cartilage (CCS 151). Current Averages
Historical Data |
||||||
| Measure | Result | |||||
|
-
|
85 | $6,496.00 | ||||
|
-
|
81 | $6,127.60 | ||||
|
-
|
99 | $5,820.09 | ||||
|
-
|
106 | $5,125.11 | ||||
|
-
|
102 | $5,088.28 | ||||
|
-
|
109 | $5,247.30 | ||||
|
-
|
95 | $5,291.20 | ||||
|
-
|
131 | $5,184.68 | ||||
|
-
|
137 | $5,174.61 | ||||
|
-
|
120 | $5,626.52 | ||||
|
-
|
124 | $5,637.56 | ||||
|
-
|
140 | $5,302.46 | ||||
|
-
|
161 | $5,298.00 | ||||
|
-
|
236 | $5,351.76 | ||||
|
-
|
237 | $5,293.00 | ||||
|
-
|
107 | $5,096.45 | ||||
|
-
|
240 | $5,261.58 | ||||
|
-
|
273 | $5,292.46 | ||||
|
-
|
284 | $5,176.45 | ||||
|
-
|
278 | $4,938.95 | ||||
|
Lesion Excision
-
|
13 | $1,612.00 | ||||
DescriptionThe number of patients who received an Excision of Skin Lesion (CCS 170). Current Averages
Historical Data |
||||||
| Measure | Result | |||||
|
-
|
54 | $3,525.25 | ||||
|
-
|
103 | $3,105.00 | ||||
|
-
|
156 | $3,098.00 | ||||
|
-
|
164 | $2,775.50 | ||||
|
-
|
180 | $2,672.00 | ||||
|
-
|
181 | $2,741.30 | ||||
|
-
|
123 | $3,101.00 | ||||
|
-
|
114 | $2,924.63 | ||||
|
-
|
129 | $2,763.00 | ||||
|
-
|
125 | $3,021.00 | ||||
|
-
|
130 | $2,780.00 | ||||
|
-
|
152 | $1,160.00 | ||||
|
-
|
168 | $1,130.00 | ||||
|
-
|
216 | $1,055.00 | ||||
|
-
|
237 | $1,050.50 | ||||
|
-
|
221 | $1,047.00 | ||||
|
-
|
237 | $1,033.00 | ||||
|
-
|
268 | $1,047.00 | ||||
|
-
|
264 | $1,067.00 | ||||
|
-
|
259 | $1,067.00 | ||||
|
Insertion of catheter or spinal stimulator and injection into spinal canal
-
|
19 | $1,695.00 | ||||
DescriptionThe number of patients who received an insertion of catheter or spinal stimulator and injection (CCS 5) Current Averages
Historical Data |
||||||
| Measure | Result | |||||
|
-
|
34 | $1,758.00 | ||||
|
-
|
92 | $1,871.00 | ||||
|
-
|
150 | $1,711.00 | ||||
|
-
|
194 | $2,931.50 | ||||
|
-
|
186 | $2,890.00 | ||||
|
-
|
138 | $2,817.30 | ||||
|
-
|
101 | $2,809.00 | ||||
|
-
|
339 | $2,279.00 | ||||
|
-
|
417 | $2,278.00 | ||||
|
-
|
396 | $2,212.00 | ||||
|
-
|
371 | $1,898.00 | ||||
|
-
|
302 | $1,792.00 | ||||
|
-
|
337 | $1,791.00 | ||||
|
-
|
515 | $1,792.00 | ||||
|
-
|
559 | $1,781.00 | ||||
|
-
|
340 | $1,781.00 | ||||
|
-
|
568 | $1,781.00 | ||||
|
-
|
638 | $1,773.00 | ||||
|
-
|
619 | $1,773.00 | ||||
|
-
|
619 | $1,745.00 | ||||
|
Inguinal Hernia Repair
-
|
12 | $11,064.78 | ||||
DescriptionThe number of patients who received an Inguinal and Femoral Hernia Repair (CCS 85). Current Averages
Historical Data |
||||||
| Measure | Result | |||||
|
-
|
29 | $11,124.00 | ||||
|
-
|
39 | $9,101.00 | ||||
|
-
|
63 | $8,524.56 | ||||
|
-
|
69 | $7,423.00 | ||||
|
-
|
68 | $7,448.05 | ||||
|
-
|
78 | $7,722.48 | ||||
|
-
|
80 | $7,803.23 | ||||
|
-
|
84 | $7,475.08 | ||||
|
-
|
83 | $7,290.45 | ||||
|
-
|
64 | $6,463.80 | ||||
|
-
|
59 | $6,288.99 | ||||
|
-
|
52 | $6,375.57 | ||||
|
-
|
59 | $6,177.22 | ||||
|
-
|
66 | $5,634.73 | ||||
|
-
|
82 | $5,747.42 | ||||
|
-
|
39 | $6,530.00 | ||||
|
-
|
81 | $6,410.52 | ||||
|
-
|
96 | $6,548.46 | ||||
|
-
|
113 | $6,574.20 | ||||
|
-
|
110 | $5,977.00 | ||||
|
Laparoscopic Cholecystectomy
-
|
8 | $14,037.50 | ||||
DescriptionThe Number of Patients for Laparoscopic Cholecystectomy (CCS 84) Current Averages
Historical Data |
||||||
| Measure | Result | |||||
|
-
|
29 | $10,614.00 | ||||
|
-
|
39 | $9,832.20 | ||||
|
-
|
63 | $8,233.80 | ||||
|
-
|
64 | $8,314.30 | ||||
|
-
|
66 | $7,941.10 | ||||
|
-
|
65 | $7,921.20 | ||||
|
-
|
55 | $8,105.00 | ||||
|
-
|
67 | $8,471.41 | ||||
|
-
|
70 | $8,415.61 | ||||
|
-
|
53 | $7,298.70 | ||||
|
-
|
48 | $7,325.31 | ||||
|
-
|
40 | $7,208.69 | ||||
|
-
|
51 | $7,341.26 | ||||
|
-
|
85 | $6,868.72 | ||||
|
-
|
87 | $6,656.80 | ||||
|
-
|
82 | $6,461.55 | ||||
|
-
|
79 | $7,070.36 | ||||
|
-
|
98 | $7,235.11 | ||||
|
-
|
89 | $7,322.92 | ||||
|
-
|
91 | $6,860.53 | ||||
|
Lens Procedures
-
|
33 | $6,685.53 | ||||
DescriptionThe number of patients who received Lens and Cataract Procedures (CCS 15). Current Averages
Historical Data |
||||||
| Measure | Result | |||||
|
-
|
127 | $6,380.01 | ||||
|
-
|
183 | $6,114.20 | ||||
|
-
|
236 | $5,852.15 | ||||
|
-
|
319 | $5,582.45 | ||||
|
-
|
348 | $5,561.78 | ||||
|
-
|
336 | $5,413.90 | ||||
|
-
|
309 | $5,378.80 | ||||
|
-
|
258 | $5,586.50 | ||||
|
-
|
248 | $5,810.00 | ||||
|
-
|
241 | $5,363.00 | ||||
|
-
|
233 | $5,119.00 | ||||
|
-
|
214 | $4,769.00 | ||||
|
-
|
236 | $4,704.50 | ||||
|
-
|
343 | $4,583.00 | ||||
|
-
|
331 | $4,589.00 | ||||
|
-
|
153 | $4,485.00 | ||||
|
-
|
292 | $4,474.50 | ||||
|
-
|
336 | $4,468.50 | ||||
|
-
|
412 | $4,437.00 | ||||
|
-
|
354 | $4,467.00 | ||||
|
Lumpectomy
-
|
14 | $11,169.50 | ||||
DescriptionThe number of patients who received a Lumpectomy, Breast Quadrantectomy (CCS 166) Current Averages
Historical Data |
||||||
| Measure | Result | |||||
|
-
|
48 | $11,597.50 | ||||
|
-
|
84 | $10,761.50 | ||||
|
-
|
99 | $10,388.00 | ||||
|
-
|
125 | $10,483.23 | ||||
|
-
|
126 | $10,974.12 | ||||
|
-
|
122 | $9,340.76 | ||||
|
-
|
93 | $9,244.46 | ||||
|
-
|
131 | $8,666.84 | ||||
|
-
|
148 | $8,585.00 | ||||
|
-
|
119 | $7,896.00 | ||||
|
-
|
105 | $7,698.38 | ||||
|
-
|
90 | $6,717.50 | ||||
|
-
|
114 | $6,637.34 | ||||
|
-
|
185 | $6,842.00 | ||||
|
-
|
174 | $6,844.33 | ||||
|
-
|
63 | $6,843.00 | ||||
|
-
|
134 | $6,885.12 | ||||
|
-
|
143 | $6,798.00 | ||||
|
-
|
137 | $6,002.92 | ||||
|
-
|
124 | $5,855.04 | ||||
|
Other non-OR therapeutic procedures, male genital
-
|
Too few cases | |||||
DescriptionThe number of patients other non-OR therapeutic procedures, male genital (CCS 117) Current Averages
Historical Data |
||||||
| Measure | Result | |||||
|
-
|
Too few cases | |||||
|
-
|
Too few cases | |||||
|
-
|
5 | $4,279.00 | ||||
|
-
|
6 | $5,343.54 | ||||
|
-
|
6 | $5,874.07 | ||||
|
-
|
Too few cases | |||||
|
-
|
Too few cases | |||||
|
-
|
Too few cases | |||||
|
-
|
Too few cases | |||||
|
-
|
Too few cases | |||||
|
-
|
Too few cases | |||||
|
-
|
Too few cases | |||||
|
-
|
8 | $4,303.50 | ||||
|
-
|
6 | $10,854.50 | ||||
|
-
|
7 | $23,256.00 | ||||
|
-
|
6 | $23,231.09 | ||||
|
-
|
17 | $23,229.58 | ||||
|
-
|
27 | $24,300.00 | ||||
|
-
|
19 | $23,478.50 | ||||
|
PTCA
-
|
Too few cases | |||||
DescriptionThe number of patients who received percutaneous transluminal coronary angioplasty (CCS 45) Current Averages
Historical Data |
||||||
| Measure | Result | |||||
|
-
|
Too few cases | |||||
|
-
|
10 | $37,484.87 | ||||
|
-
|
11 | $42,853.39 | ||||
|
-
|
43 | $45,899.14 | ||||
|
-
|
44 | $45,824.98 | ||||
|
-
|
28 | $45,011.55 | ||||
|
-
|
17 | $43,620.05 | ||||
|
-
|
8 | $43,611.25 | ||||
|
-
|
12 | $44,446.62 | ||||
|
-
|
11 | $43,532.50 | ||||
|
-
|
15 | $40,178.00 | ||||
|
-
|
27 | $34,357.50 | ||||
|
-
|
15 | $34,014.50 | ||||
|
-
|
84 | $35,474.34 | ||||
|
-
|
79 | $34,959.52 | ||||
|
-
|
72 | $32,847.00 | ||||
|
-
|
86 | $32,156.00 | ||||
|
-
|
87 | $32,119.50 | ||||
|
-
|
81 | $31,786.21 | ||||
|
-
|
68 | $31,948.37 | ||||
|
Tonsillectomy
-
|
Too few cases | |||||
DescriptionThe number of patients who received a Tonsillectomy and/or Adenoidectomy (CCS 30). Current Averages
Historical Data |
||||||
| Measure | Result | |||||
|
-
|
8 | $5,676.08 | ||||
|
-
|
25 | $5,611.40 | ||||
|
-
|
32 | $5,286.80 | ||||
|
-
|
82 | $5,290.05 | ||||
|
-
|
77 | $5,204.60 | ||||
|
-
|
20 | $4,948.64 | ||||
|
-
|
13 | $5,075.91 | ||||
|
-
|
30 | $5,002.50 | ||||
|
-
|
33 | $4,983.00 | ||||
|
-
|
38 | $4,763.92 | ||||
|
-
|
39 | $4,703.00 | ||||
|
-
|
36 | $4,411.14 | ||||
|
-
|
37 | $4,267.46 | ||||
|
-
|
55 | $4,320.00 | ||||
|
-
|
66 | $4,283.84 | ||||
|
-
|
23 | $4,656.00 | ||||
|
-
|
31 | $4,397.44 | ||||
|
-
|
84 | $4,153.69 | ||||
|
-
|
103 | $4,166.00 | ||||
|
-
|
113 | $4,136.41 | ||||
|
Upper GI Endoscopy
-
|
228 | $2,617.00 | ||||
DescriptionThe number of patients who received an Upper Gastrointestinal Endoscopy with Biopsy (CCS 70). Current Averages
Historical Data |
||||||
| Measure | Result | |||||
|
-
|
608 | $2,776.20 | ||||
|
-
|
863 | $2,603.00 | ||||
|
-
|
814 | $2,609.35 | ||||
|
-
|
723 | $3,275.03 | ||||
|
-
|
848 | $3,281.83 | ||||
|
-
|
878 | $3,309.03 | ||||
|
-
|
762 | $3,299.20 | ||||
|
-
|
761 | $3,318.00 | ||||
|
-
|
782 | $3,360.75 | ||||
|
-
|
670 | $3,273.00 | ||||
|
-
|
594 | $3,028.00 | ||||
|
-
|
604 | $2,965.00 | ||||
|
-
|
726 | $2,931.50 | ||||
|
-
|
1,091 | $2,890.00 | ||||
|
-
|
1,011 | $2,878.00 | ||||
|
-
|
903 | $2,532.00 | ||||
|
-
|
964 | $2,129.00 | ||||
|
-
|
1,084 | $2,150.00 | ||||
|
-
|
1,081 | $2,076.06 | ||||
|
-
|
967 | $1,906.00 | ||||
|
Decompression Peripheral Nerve
-
|
Too few cases | |||||
DescriptionThe number of patients who received treatment for a Decompression Peripheral Nerve (CCS 6). Current Averages
Historical Data |
||||||
| Measure | Result | |||||
|
-
|
8 | $5,944.00 | ||||
|
-
|
11 | $5,622.00 | ||||
|
-
|
14 | $5,563.50 | ||||
|
-
|
30 | $5,054.85 | ||||
|
-
|
24 | $5,212.43 | ||||
|
-
|
26 | $4,774.00 | ||||
|
-
|
23 | $4,743.00 | ||||
|
-
|
28 | $4,703.00 | ||||
|
-
|
35 | $4,709.00 | ||||
|
-
|
28 | $4,680.50 | ||||
|
-
|
24 | $4,155.88 | ||||
|
-
|
38 | $4,165.00 | ||||
|
-
|
41 | $4,227.00 | ||||
|
-
|
47 | $4,189.00 | ||||
|
-
|
57 | $4,180.15 | ||||
|
-
|
25 | $4,155.00 | ||||
|
-
|
66 | $4,161.00 | ||||
|
-
|
76 | $4,244.00 | ||||
|
-
|
67 | $4,181.50 | ||||
|
Other Therapeutic Procedures on Muscles and Tendons
-
|
15 | $14,241.00 | ||||
DescriptionThe number of patients who received treatment for Other Therapeutic Procedures on Muscles and Tendons (CCS 160). Current Averages
Historical Data |
||||||
| Measure | Result | |||||
|
-
|
65 | $16,551.00 | ||||
|
-
|
115 | $12,910.00 | ||||
|
-
|
108 | $12,594.89 | ||||
|
-
|
158 | $12,199.31 | ||||
|
-
|
143 | $11,614.80 | ||||
|
-
|
138 | $12,284.72 | ||||
|
-
|
137 | $13,002.45 | ||||
|
-
|
169 | $13,337.00 | ||||
|
-
|
169 | $12,954.00 | ||||
|
-
|
160 | $11,231.10 | ||||
|
-
|
160 | $10,493.21 | ||||
|
-
|
142 | $9,261.87 | ||||
|
-
|
162 | $8,966.91 | ||||
|
-
|
250 | $10,535.00 | ||||
|
-
|
287 | $10,205.23 | ||||
|
-
|
129 | $8,522.00 | ||||
|
-
|
257 | $10,563.63 | ||||
|
-
|
314 | $10,715.34 | ||||
|
-
|
344 | $6,443.02 | ||||
| Major Diagnosis | Patients | Median Charge | ||||
|---|---|---|---|---|---|---|
|
Myringotomy (Pediatric)
-
|
Too few cases | |||||
DescriptionThis measure counts the number of patients classified into this APR DRG Current Averages
Historical Data |
||||||
| Measure | Result | |||||
|
-
|
7 | $4,191.45 | ||||
|
-
|
9 | $4,191.45 | ||||
|
-
|
11 | $3,900.20 | ||||
|
-
|
12 | $3,877.20 | ||||
|
-
|
8 | $3,767.90 | ||||
|
-
|
Too few cases | |||||
|
-
|
11 | $3,536.00 | ||||
|
-
|
12 | $3,678.00 | ||||
|
-
|
16 | $3,417.00 | ||||
|
-
|
18 | $3,417.00 | ||||
|
-
|
19 | $3,972.00 | ||||
|
-
|
22 | $3,497.00 | ||||
|
-
|
32 | $3,330.65 | ||||
|
-
|
28 | $3,255.93 | ||||
|
-
|
24 | $3,098.00 | ||||
|
-
|
46 | $3,085.00 | ||||
|
Tonsillectomy (Pediatric)
-
|
5 | $5,601.00 | ||||
DescriptionThe number of patients who received a Tonsillectomy and/or Adenoidectomy (Pediatric) (CCS 30). Current Averages
Historical Data |
||||||
| Measure | Result | |||||
|
-
|
17 | $5,496.60 | ||||
|
-
|
22 | $5,216.63 | ||||
|
-
|
49 | $5,204.60 | ||||
|
-
|
45 | $4,948.44 | ||||
|
-
|
12 | $4,820.30 | ||||
|
-
|
6 | $4,866.26 | ||||
|
-
|
10 | $4,944.23 | ||||
|
-
|
13 | $4,965.45 | ||||
|
-
|
12 | $4,802.30 | ||||
|
-
|
13 | $4,468.00 | ||||
|
-
|
21 | $4,358.00 | ||||
|
-
|
22 | $4,180.00 | ||||
|
-
|
35 | $4,248.84 | ||||
|
-
|
37 | $4,152.30 | ||||
|
-
|
38 | $4,091.00 | ||||
|
-
|
41 | $4,011.00 | ||||