Individual

$4,349.00

$5,499.00

$8,649.00

$4,649.00

$4,999.00

$6,199.00

$5,799.00

$4,749.00

$8,349.00

$19,399.00

$4,149.00

$4,899.00

$16,299.00

$23,899.00

$8,149.00

$56,799.00

$16,299.00

$12,749.00

$15,599.00

$4,249.00

$4,999.00

$8,499.00

$7,849.00

$4,799.00