Copy of 2015 Sbip Cigna Ppo 105 Rbrvs La Schedule

8/16/2019 Copy of 2015 Sbip Cigna Ppo 105 Rbrvs La Schedule

1/272

ASA 52

10021 149.57

10022 161.26

10040 96.42

10060 108.25

10061 187.11

10080 186.2110081 281.56

10120 148.15

10121 275.14

10140 151.77

10160 127.29

10180 186.98

11000 53.55

11001 23.28

11004 599.14

11005 807.51

11006 747.31

11008 294.91

11010 298.33

11011 316.17

11012 468.45

11040 46.69

11041 57.44

11042 79.38

11043 245.77

11044 341.21

11055 47.05

11056 57.65

11057 70.47

11100 96.33

11101 32.2

11200 81.13

11201 18.89

11300 68.1

11301 88.73

11302 106.24

11303 126.88

11305 69.4

11306 93.86

11307 109.79

11308 127.97

11310 83.21

11311 102.55

11312 118.4


2/272

11313 151.77

11400 124.87

11401 145.98

11402 162.02

11403 185.85

11404 211.57

11406 222.311420 122.67

11421 155.48

11422 172.81

11423 203.09

11424 231.34

11426 266.34

11440 140.17

11441 169.07

11442 188.56

11443 228.01

11444 286.45

11446 319.67

11450 227.21

11451 301.58

11462 219.05

11463 309.32

11470 260.44

11471 330.98

11600 185.13

11601 213.05

11602 229.26

11603 262.11

11604 290.68

11606 287.09

11620 185.17

11621 213.92

11622 240.5

11623 284.05

11624 228.77

11626 403.69

11640 191.31

11641 231.63

11642 266.83

11643 315.86

11644 393.98

11646 410.56

11719 19.86

11720 30.56


3/272

11721 44.57

11730 97.39

11732 45.4

11740 43.27

11750 206.9

11752 293.88

11755 131.9911760 145.83

11762 264.83

11765 122.12

11770 180.09

11771 407.64

11772 541.2

11900 53.39

11901 65.51

11920 224.78

11921 251.1

11922 71.07

11950 83.03

11951 113.87

11952 153.27

11954 182.71

11960 941.96

11970 617.33

11971 310

11975 128.26

11976 153.38

11977 238.23

11980 110.64

11981 89.99

11982 163.41

11983 241.29

12001 104.83

12002 117.37

12004 137.56

12005 171.29

12006 217.47

12007 250.21

12011 108.2

12013 124.1

12014 148.89

12015 186.77

12016 228.2

12017 276.1

12018 331.12


4/272

12020 284.49

12021 162.47

12031 211.08

12032 291.84

12034 281.82

12035 241.18

12036 285.5612037 331.76

12041 228.41

12042 273.59

12044 205.61

12045 253.95

12046 300.48

12047 331.17

12051 260.62

12052 278.88

12053 202.82

12054 220.63

12055 280.24

12056 350.74

12057 541.51

13100 317.76

13101 385.88

13102 77.52

13120 329.87

13121 416.87

13122 88.49

13131 360.12

13132 549.29

13133 135.33

13150 282.38

13151 407.63

13152 546.89

13153 148.76

13160 828.18

14000 651.48

14001 720.82

14020 723.12

14021 834.52

14040 760.12

14041 908.7

14060 779.06

14061 985.39

14300 965.15

14350 781.21


5/272

15002 230.21

15003 46.84

15004 284.61

15005 93.68

15040 134.68

15050 456.84

15100 759.5215101 123.86

15110 772.44

15111 113.5

15115 792.39

15116 154.84

15120 807.06

15121 192.13

15130 596.9

15131 91.88

15135 815.43

15136 92.89

15150 680.58

15151 122.81

15152 153.28

15155 727.97

15156 170.14

15157 185.86

15170 353.03

15171 92.33

15175 510.95

15176 145.74

15200 659.37

15201 84.5

15220 635.84

15221 75.65

15240 790.43

15241 118.78

15260 855

15261 152.86

15300 293.3

15301 60.48

15320 336.07

15321 90.03

15330 266.09

15331 60.48

15335 296.6

15336 86.25

15340 282.05


6/272

15341 29.64

15360 306.52

15361 68.17

15365 321.64

15366 86.01

15400 362.79

15401 61.8715420 378.18

15421 91.42

15430 549.11

15431 245.76

15570 731.66

15572 716.07

15574 786.91

15576 690.54

15600 219.9

15610 258.07

15620 326.91

15630 352.83

15650 383.35

15731 1014.43

15732 1362.18

15734 1396.73

15736 1227.42

15738 1332.04

15740 962.1

15750 943.92

15756 2469.77

15757 2465.03

15758 2466.31

15760 724.8

15770 672.22

15775 231.46

15776 347.98

15780 876.04

15781 534.48

15782 626.67

15783 502.91

15786 240.23

15787 61.38

15788 412.38

15789 576.71

15792 397.97

15793 430.68

15819 752.33


7/272

15820 495.39

15821 525.29

15822 386.14

15823 616.45

15824 1108.01

15825 1246.75

15826 900.515828 2354.76

15829 2631.87

15830 1206.83

15832 918.65

15833 857.79

15834 862.49

15835 888.21

15836 754.36

15837 714.93

15838 589.21

15839 723.06

15840 1045.02

15841 1724.43

15842 2741.22

15845 977.38

15847 485.03

15850 98.6

15851 107.4

15852 49.54

15860 117.6

15920 601.92

15922 765.47

15931 678.21

15933 845.5

15934 938.22

15935 1134.82

15936 923.9

15937 1080.82

15940 707.04

15941 944.34

15944 913.41

15945 1015.48

15946 1666.11

15950 583.13

15951 845.63

15952 871.09

15953 983.48

15956 1186.21


8/272

15958 1203.51

16000 74.37

16020 90.41

16025 155.12

16030 184.12

16035 225.95

16036 89.6617000 74.08

17003 7.93

17004 179.41

17106 398.75

17107 699.73

17108 943.09

17110 103.21

17111 121.4

17250 78.48

17260 97.12

17261 130.98

17262 160.04

17263 176.58

17264 190.63

17266 218.82

17270 139.08

17271 150.74

17272 172.53

17273 193.39

17274 231.95

17276 273.1

17280 129.14

17281 164.93

17282 190.68

17283 232.6

17284 272.86

17286 352.62

17311 737.31

17312 446.76

17313 673.83

17314 413.77

17315 86.42

17340 46.63

17360 127.06

17380 79.46

19000 123.87

19001 28.76

19020 283.18


9/272

19030 82.65

19100 148.59

19101 220.04

19102 109.28

19103 203.11

19105 194.82

19110 319.6619112 285.73

19120 389.44

19125 430.82

19126 166.87

19260 1239.35

19271 1715.83

19272 1886.84

19290 68.73

19291 34.32

19295 93.45

19296 5443.96

19297 98.21

19298 348.5

19300 380.92

19301 413.93

19302 874.07

19303 882.11

19304 550.84

19305 1083.28

19306 1126.42

19307 1132.47

19316 813.84

19318 1206.37

19324 502.13

19325 668.82

19328 503.23

19330 641.38

19340 416.36

19342 945.34

19350 713.59

19355 790.97

19357 1599.18

19361 1601.74

19364 2897.82

19366 1448.89

19367 1900.28

19368 2329.69

19369 2149.07


10/272

19370 702.65

19371 810.4

19380 790.73

19396 181.84

20000 213.75

20005 250.71

20100 626.3420101 209.84

20102 252.45

20103 374.87

20150 953.28

20200 96.96

20205 153.65

20206 67.13

20220 84.77

20225 128.5

20240 249.83

20245 669.77

20250 394.36

20251 443.99

20500 143.5

20501 40.72

20520 154.85

20525 266.08

20526 82.92

20550 62.91

20551 61.62

20552 58.1

20553 65.19

20600 57.84

20605 63.28

20610 78.68

20612 62.55

20615 245.74

20650 166.22

20660 188.93

20661 473.13

20662 501.13

20663 471.03

20664 770.58

20665 115.33

20670 551.45

20680 416.91

20690 272.1

20692 446.03


11/272

20693 499.6

20694 363.74

20802 2728.1

20805 3573.25

20808 4512.77

20816 2941.66

20822 2595.9820824 2916.91

20827 2690.15

20838 2553.29

20900 503.55

20902 651.51

20910 461.43

20912 519.62

20920 423.15

20922 507.16

20924 545.77

20926 460.2

20930 103.52

20931 123.68

20936 109.56

20937 187.28

20938 204.32

20950 98.52

20955 2725.93

20956 2883.72

20957 2722.22

20962 2870.48

20969 3019.74

20970 3010.18

20972 2761.49

20973 3001.7

20974 62.79

20975 192.48

20979 61.12

20982 426.64

21010 761.23

21015 458

21025 1029.6

21026 601.03

21029 658.55

21030 500.95

21031 386.75

21032 394.12

21034 1407.49


12/272

21040 503.71

21044 923.09

21045 1276.62

21046 1136.29

21047 1397.35

21048 1156.63

21049 1326.8921050 906.53

21060 843.16

21070 680.96

21076 1092.74

21077 2724.92

21079 1852.61

21080 2105.53

21081 1913.07

21082 1734.28

21083 1645.62

21084 1883.4

21085 748.44

21086 2035.58

21087 2012.13

21100 739.64

21110 726.51

21116 209.43

21120 547.56

21121 678.27

21122 747.26

21123 960.56

21125 3125.56

21127 931.73

21137 767.73

21138 971

21139 1079.32

21141 1412.46

21142 1399.55

21143 1430.8

21145 1614.3

21146 1665.49

21147 1721.75

21150 1785.71

21151 2087.51

21154 2300.16

21155 2530.78

21159 3083.7

21160 3131.58


13/272

21172 1813.95

21175 2193.23

21179 1561.25

21180 1757.76

21181 768.37

21182 2140.37

21183 2392.0221184 2652.82

21188 1743.7

21193 1329.95

21194 1485.56

21195 1431.89

21196 1539.96

21198 1198.59

21199 1066.13

21206 1188.08

21208 1601.29

21209 681.55

21210 1836.2

21215 2941.97

21230 818.41

21235 586.17

21240 1199.07

21242 1101.31

21243 1782.82

21244 1089.79

21245 1177.1

21246 917.16

21247 1741.23

21248 1090.11

21249 1549.74

21255 1478.65

21256 1228.62

21260 1246.64

21261 2393.46

21263 2063.03

21267 1697.04

21268 2018

21270 738.56

21275 851.88

21280 546.14

21282 367.58

21295 191.42

21296 419.85

21310 29.86


14/272

21315 155.83

21320 146.41

21325 539.2

21330 654.69

21335 782.47

21336 692.11

21337 294.521338 879.23

21339 953.65

21340 838.32

21343 1261.19

21344 1611.29

21345 682.89

21346 1012.63

21347 1247.72

21348 1196.31

21355 329.13

21356 395.62

21360 556.25

21365 1158.31

21366 1292.16

21385 755.55

21386 700.72

21387 807.2

21390 798.26

21395 1002.19

21400 147.01

21401 304.3

21406 569

21407 672.9

21408 926.01

21421 634.72

21422 716.53

21423 853.71

21431 751.76

21432 718.87

21433 1789.18

21435 1383.03

21436 2030.12

21440 500.43

21445 735.15

21450 519.1

21451 699.25

21452 680.63

21453 807.69


15/272


16/272

22100 835.62

22101 837.25

22102 839.81

22103 155.5

22110 1039.66

22112 1035.48

22114 1040.0522116 155.95

22210 1843.83

22212 1521.83

22214 1543.73

22216 408.65

22220 1662.42

22222 1531.39

22224 1651.6

22226 404.51

22305 196.64

22310 287.54

22315 777.73

22318 1654.7

22319 1834.91

22325 1432.75

22326 1514.5

22327 1483.31

22328 305.69

22505 127.74

22520 629.04

22521 596.1

22522 264.22

22523 665.3

22524 636.69

22525 294.85

22526 365.36

22527 167.01

22532 1796.75

22533 1660.08

22534 401.77

22548 1932.95

22554 1371.89

22556 1736.3

22558 1579.73

22585 372.9

22590 1595.05

22595 1516.43

22600 1298.13


17/272

22610 1288.87

22612 1675.45

22614 436.14

22630 1609.38

22632 353.28

22800 1430.08

22802 2283.8622804 2646.64

22808 1925.49

22810 2165.83

22812 2352.73

22818 2360.22

22819 2665.19

22830 858.17

22840 851.77

22841 323.94

22842 852.39

22843 897.06

22844 1108.88

22845 814.87

22846 846.65

22847 930.38

22848 403.56

22849 1381.4

22850 756.5

22851 451.99

22852 724.19

22855 1160.82

22857 1541.81

22862 1872.63

22865 1823.97

22900 409.12

23000 384.82

23020 738.16

23030 277.4

23031 239.73

23035 758.5

23040 768.72

23044 611.73

23065 212.2

23066 359.33

23075 184.15

23076 585.21

23077 1227.31

23100 520.68


18/272

23101 482.32

23105 681.59

23106 511.31

23107 709.77

23120 601.83

23125 750.12

23130 649.7723140 537.25

23145 725.96

23146 661.76

23150 686.18

23155 839.74

23156 720.64

23170 573.35

23172 581.26

23174 803.57

23180 777.26

23182 741.93

23184 833.33

23190 593.96

23195 791

23200 933.12

23210 972.27

23220 1144.33

23221 1281.39

23222 1798.08

23330 244.45

23331 629.81

23332 946.69

23350 188.36

23395 1366.35

23397 1227.16

23400 1044.5

23405 676.44

23406 844.84

23410 967.29

23412 1028.94

23415 793.24

23420 1124.36

23430 797.99

23440 825.15

23450 1027.84

23455 1095.99

23460 1185.19

23462 1155.25


19/272

23465 1203.05

23466 1181.45

23470 1314.28

23472 1614.35

23480 886.74

23485 1039.31

23490 879.5623491 1101.97

23500 220.23

23505 360.58

23515 617.42

23520 224.16

23525 335.44

23530 585.36

23532 663.75

23540 224.78

23545 324.94

23550 609.34

23552 703.81

23570 234.77

23575 369.26

23585 738.07

23600 333.91

23605 445.25

23615 869.08

23616 1568.55

23620 270.54

23625 395.85

23630 620.73

23650 266.85

23655 390.67

23660 615.16

23665 435.61

23670 653.61

23675 572.87

23680 810.61

23700 208.11

23800 1079.56

23802 1257.35

23900 1414.07

23920 1143.05

23921 470.12

23930 229.01

23931 173.37

23935 536.44


20/272

24000 501.9

24006 759.5

24065 243.62

24066 413.83

24075 323.68

24076 493.62

24077 858.3124100 422.85

24101 532.79

24102 657.92

24105 357.63

24110 621.61

24115 763.26

24116 930.35

24120 555.84

24125 620.74

24126 674.55

24130 541.41

24134 830.01

24136 675.77

24138 706.85

24140 805.82

24145 685.36

24147 712.16

24149 1208.61

24150 1041.61

24151 1207.16

24152 777.34

24153 713.5

24155 896.56

24160 648.19

24164 530.8

24200 223.51

24201 387.74

24220 206.24

24300 425.15

24301 806.55

24305 620.25

24310 508.76

24320 808

24330 769.45

24331 845.53

24332 636.41

24340 657.99

24341 755.85


21/272

24342 846.58

24343 751.66

24344 1160.83

24345 746.96

24346 1153.26

24350 479.8

24351 523.2124352 557.19

24354 556.8

24356 572.21

24360 963.6

24361 1081.01

24362 1117.76

24363 1566.1

24365 687.07

24366 735.06

24400 882.82

24410 1118.45

24420 1054.03

24430 1088.45

24435 1124.76

24470 724.37

24495 732.3

24498 940.17

24500 360.18

24505 471.61

24515 939.93

24516 929.83

24530 388.35

24535 600.16

24538 804.31

24545 849.93

24546 1199.4

24560 324.68

24565 493.14

24566 741.37

24575 855.01

24576 342.2

24577 562.95

24579 917.86

24582 833.62

24586 1178.59

24587 1167.15

24600 390.59

24605 480.68


22/272

24615 768.35

24620 582.68

24635 1194.58

24640 130.69

24650 265.96

24655 409.67

24665 693.8124666 783.29

24670 297.49

24675 477.45

24685 724.01

24800 871.7

24802 1075.11

24900 750.1

24920 748.11

24925 577.87

24930 780.51

24931 862.16

24935 1066.93

24940 1139.4

25000 444.38

25001 348.43

25020 667.3

25023 1235.41

25024 788.32

25025 1180.07

25028 581.75

25031 516.14

25035 899.03

25040 639.57

25065 169.05

25066 486.56

25075 421.28

25076 622

25077 942.43

25085 547.66

25100 400.47

25101 463.92

25105 574.54

25107 688

25109 534.53

25110 475.22

25111 357.47

25112 430.91

25115 1020.8


23/272

25116 875.47

25118 442.33

25119 593.68

25120 775.57

25125 865.54

25126 882.32

25130 509.9125135 628.28

25136 554.69

25145 787.73

25150 671.09

25151 863.94

25170 1134.15

25210 556.04

25215 724.67

25230 495.85

25240 525.9

25246 205.59

25248 590.79

25250 558.66

25251 759.88

25259 424.03

25260 905.35

25263 900.79

25265 1036.64

25270 768.13

25272 844.84

25274 956.68

25275 715.2

25280 846.2

25290 852.93

25295 798.09

25300 754.07

25301 720.97

25310 905.49

25312 1006.94

25315 1066.34

25316 1229.36

25320 1035.45

25332 907.69

25335 1047.88

25337 978.08

25350 978.66

25355 1073.9

25360 958.01


24/272

25365 1224.82

25370 1297.64

25375 1282.5

25390 1074.86

25391 1316.72

25392 1305.36

25393 1477.9525394 815.9

25400 1126.62

25405 1375.41

25415 1288.2

25420 1506.33

25425 1486.58

25426 1419.05

25430 739.57

25431 846.56

25440 866.38

25441 1012.89

25442 859.03

25443 823.22

25444 886.07

25445 775.97

25446 1258.99

25447 858.94

25449 1108.92

25450 782.5

25455 841.81

25490 995.16

25491 1044.9

25492 1197.41

25500 268.43

25505 524.75

25515 744.53

25520 583.31

25525 998.74

25526 1167.35

25530 262.69

25535 467.61

25545 737.47

25560 272.63

25565 492.81

25574 648.9

25575 948.48

25600 299.8

25605 584.9


25/272

25606 736.59

25607 733.73

25608 836.57

25609 1065.21

25622 307.76

25624 430.66

25628 760.2225630 314.18

25635 381.72

25645 613.28

25650 326.75

25651 492.64

25652 653.95

25660 416.6

25670 656.29

25671 549.13

25675 451.64

25676 679.4

25680 470.46

25685 778.8

25690 486.89

25695 679.1

25800 827.99

25805 948.54

25810 942.07

25820 669.83

25825 814.98

25830 1074.85

25900 942.07

25905 928.2

25907 834.8

25909 924.91

25915 1503.34

25920 731.95

25922 642.03

25924 730.83

25927 885.35

25929 595.54

25931 833.22

26010 302.95

26011 197.98

26020 452.52

26025 442.95

26030 519.61

26034 563.5


26/272

26035 835.4

26037 603.47

26040 327.75

26045 495.53

26055 308.54

26060 279.53

26070 307.8526075 332.34

26080 405

26100 342.39

26105 351.03

26110 334.33

26115 382.08

26116 509.68

26117 684.68

26121 636.71

26123 851.26

26125 304.09

26130 480.34

26135 588.44

26140 535.45

26145 543.58

26160 335.14

26170 427.2

26180 466.63

26185 541.11

26200 477.77

26205 642.02

26210 466.17

26215 585.86

26230 538.17

26235 526.39

26236 467.19

26250 605.79

26255 962.02

26260 578.04

26261 682.93

26262 484.03

26320 365.07

26340 334.44

26350 875.16

26352 977.44

26356 1219.39

26357 1030.45

26358 1094.92


27/272

26370 940.78

26372 1076.28

26373 1026.82

26390 963.04

26392 1151.04

26410 701.63

26412 830.726415 834.12

26416 985.77

26418 705.03

26420 866.17

26426 820.47

26428 898.19

26432 607.29

26433 651.77

26434 753.65

26437 741.29

26440 778.17

26442 1083.8

26445 734.09

26449 1025.81

26450 472.82

26455 468.9

26460 455.62

26471 725.62

26474 709.04

26476 687.72

26477 693.17

26478 749.13

26479 739.05

26480 920.34

26483 1012

26485 978.1

26489 945.4

26490 907.32

26492 996.89

26494 918

26496 980.93

26497 989.67

26498 1294.97

26499 939.67

26500 743.41

26502 822.59

26508 755.84

26510 713.38


28/272

26516 827

26517 960.25

26518 960.44

26520 811.08

26525 815.92

26530 565.81

26531 659.526535 400.61

26536 714.85

26540 781.63

26541 939

26542 802.51

26545 815.42

26546 1097.65

26548 892.86

26550 1680.42

26551 3466.47

26553 2897.84

26554 3986.34

26555 1513.22

26556 3295.15

26560 654.62

26561 999.35

26562 1449.94

26565 797.29

26567 802.61

26568 1047.24

26580 1414.4

26587 1008.46

26590 1396.76

26591 546

26593 703.8

26596 780.6

26600 272.7

26605 331.85

26607 507.08

26608 511.97

26615 470.86

26641 370.09

26645 423.34

26650 547.65

26665 617.86

26670 341.76

26675 407.16

26676 538.61


29/272

26685 580.11

26686 656.31

26700 285.43

26705 379.15

26706 454.11

26715 497.27

26720 198.1426725 358.11

26727 504.53

26735 509.77

26740 228.12

26742 389.63

26746 502.06

26750 184.35

26755 329.68

26756 446.54

26765 379.8

26770 236.85

26775 337.04

26776 475.63

26785 387.32

26820 917.32

26841 870.08

26842 926.64

26843 849.95

26844 947.54

26850 818.88

26852 916.9

26860 678.27

26861 115.26

26862 845.38

26863 257.61

26910 813

26951 691.85

26952 767.75

26990 659.26

26991 544.96

26992 1037.49

27000 482.47

27001 579.91

27003 620.14

27005 784.62

27006 790.73

27025 929.85

27030 1016.52


30/272

27033 1048.69

27035 1223.2

27036 1062.25

27040 356.02

27041 721.11

27047 535.59

27048 493.5627049 1028.84

27050 391.87

27052 579.91

27054 722.32

27060 447.59

27062 478.3

27065 524.57

27066 857.28

27067 1082.25

27070 898.98

27071 976.96

27075 2437.99

27076 1691.34

27077 2828.97

27078 1070.74

27079 1044.45

27080 509.91

27086 280.21

27087 670.58

27090 893.46

27091 1678.1

27093 74.98

27095 84.65

27096 233.97

27097 694.9

27098 677.13

27100 871.82

27105 916.14

27110 1004.4

27111 946.87

27120 1361.18

27122 1184

27125 1187.58

27130 1533.62

27132 1798.36

27134 2094.58

27137 1595.97

27138 1660.34


31/272

27140 966.67

27146 1351.83

27147 1545.3

27151 1456.36

27156 1839.34

27158 1358.06

27161 1310.0227165 1445.48

27170 1259.83

27175 698.53

27176 966.17

27177 1180.36

27178 940.66

27179 1043.96

27181 1120.25

27185 787.37

27187 1071.34

27193 488.21

27194 778.36

27200 180.97

27202 1020.7

27215 783.62

27216 1123.47

27217 1087.51

27218 1435.77

27220 544.54

27222 1045.31

27226 1043

27227 1778.75

27228 2042.69

27230 495.5

27232 821.06

27235 978.69

27236 1251.12

27238 475.05

27240 1010.89

27244 1242.87

27245 1525.5

27246 406.67

27248 835.18

27250 500.79

27252 801.04

27253 1019.32

27254 1357.05

27256 324.72


32/272

27257 351.75

27258 1181.98

27259 1635.29

27265 425.59

27266 617.41

27275 194.37

27280 1094.0727282 873.32

27284 1733.68

27286 1749.12

27290 1667.79

27295 1342.53

27299 0

27301 518.72

27303 682.24

27305 496.98

27306 415.45

27307 502.76

27310 769.4

27323 181.81

27324 401.29

27325 539.1

27326 512.48

27327 362.54

27328 438.26

27329 1074.98

27330 424.47

27331 505.43

27332 681.14

27333 620.54

27334 725.75

27335 819.82

27340 388.45

27345 510.9

27347 529.76

27350 693.84

27355 645.25

27356 783.89

27357 871.74

27358 315.9

27360 915.21

27365 1298.1

27370 198.51

27372 430.68

27380 641.37


33/272

27381 865.04

27385 686.37

27386 899.47

27390 466.41

27391 611.78

27392 752.9

27393 542.8627394 699.62

27395 942.01

27396 660.14

27397 942.39

27400 714.03

27403 689.11

27405 723.45

27407 830.75

27409 1030.88

27412 1746.26

27415 1471.18

27418 893.52

27420 802.86

27422 799.95

27424 800.27

27425 475.54

27427 768.27

27428 1167.52

27429 1303.61

27430 793.77

27435 843.6

27437 706.26

27438 894.84

27440 766.7

27441 814.91

27442 933.09

27443 878.89

27445 1354.39

27446 1208.73

27447 1651.85

27448 884.15

27450 1097.43

27454 1379.82

27455 1016.11

27457 1044.65

27465 1252.71

27466 1268.45

27468 1419.83


34/272

27470 1262.52

27472 1369.03

27475 707.86

27477 782.87

27479 981.83

27485 721.2

27486 1507.7827487 1902.75

27488 1274.96

27495 1219.05

27496 536.71

27497 571.49

27498 632.19

27499 704.85

27500 543.85

27501 533.11

27502 846.02

27503 854.26

27506 1408.65

27507 1061.81

27508 551.75

27509 699.4

27510 744.67

27511 1100.51

27513 1458

27514 1423.67

27516 518.48

27517 707.92

27519 1199

27520 331.05

27524 812.27

27530 411.32

27532 612.25

27535 959.28

27536 1263.03

27538 491.28

27540 1008.05

27550 469.36

27552 661.35

27556 1161.5

27557 1332.31

27558 1360.22

27560 308.81

27562 469.54

27566 961.38


35/272


36/272

27675 564.12

27676 671.79

27680 477.74

27681 560.88

27685 523.44

27686 617.53

27687 508.1727690 666.96

27691 790.51

27692 122.1

27695 545.27

27696 648.3

27698 717.42

27700 660.19

27702 1083.45

27703 1231.73

27704 593.07

27705 830.43

27707 424.94

27709 1106.68

27712 1153.71

27715 1141.94

27720 948.87

27722 944.26

27724 1379.97

27725 1274.45

27727 1095.49

27730 630.96

27732 453.26

27734 664.12

27740 767.26

27742 718.23

27745 815.81

27750 356.19

27752 522.09

27756 606.54

27758 948.67

27759 1079.54

27760 344.14

27762 467.03

27766 701.08

27780 306.2

27781 440.79

27784 610.3

27786 326.63


37/272

27788 448.76

27792 653.04

27808 342.29

27810 455.82

27814 863.07

27816 323.94

27818 468.5727822 993.73

27823 1122.33

27824 319.51

27825 526.09

27826 774.9

27827 1244

27828 1407.44

27829 545.31

27830 339.99

27831 400.05

27832 555.21

27840 362.22

27842 507.1

27846 795.94

27848 928.52

27860 190.4

27870 1125.25

27871 747.57

27880 958.08

27881 962.29

27882 696.13

27884 625.03

27886 711.79

27888 768.83

27889 739.11

27892 581.6

27893 578.98

27894 877.79

27899 0

28001 264.41

28002 410.53

28003 609.4

28005 662.44

28008 335.14

28010 230.36

28011 327.97

28020 510.29

28022 458.65


38/272

28024 359.34

28035 401.85

28043 292.5

28045 363.91

28046 735.61

28050 344.93

28052 321.0928054 291.49

28055 425.6

28060 398.9

28062 460.1

28070 391.41

28072 388.5

28080 367.2

28086 414.15

28088 339.61

28090 344.83

28092 312.51

28100 453.22

28102 596.51

28103 486.22

28104 394.8

28106 510.55

28107 425.77

28108 324.25

28110 321.31

28111 378.48

28112 353.54

28113 445.88

28114 871.21

28116 613.45

28118 452.71

28119 399.63

28120 437.39

28122 556.53

28124 371.08

28126 283.92

28130 693.82

28140 509.06

28150 322.74

28153 282.18

28160 309.32

28171 666.46

28173 613.12

28175 427.67


39/272

28190 245.54

28192 361.18

28193 420.96

28200 356.76

28202 496.07

28208 337.68

28210 454.0628220 346.33

28222 418.6

28225 287.38

28226 360.53

28230 340.85

28232 289.64

28234 295.63

28238 553.7

28240 341

28250 439.71

28260 662.16

28261 962.14

28262 1221.68

28264 771.92

28270 372.52

28272 372.53

28280 419.14

28285 352.79

28286 341.12

28288 464.88

28289 601.82

28290 453.22

28292 622.34

28293 747.78

28294 578.75

28296 634.94

28297 674.36

28298 563.74

28299 752.31

28300 729.25

28302 715.96

28304 651.34

28305 741.6

28306 441.15

28307 506.36

28308 397.7

28309 962.29

28310 393.04


40/272

28312 358.16

28313 425.42

28315 359.62

28320 697.13

28322 643.09

28340 488.06

28341 576.8228344 341.98

28345 460.11

28360 1067.4

28400 260.43

28405 418.94

28406 581.76

28415 1339.1

28420 1305.33

28430 244.56

28435 313.93

28436 470.58

28445 1226.6

28450 224.42

28455 287.12

28456 304

28465 583.57

28470 225.9

28475 278.64

28476 371.57

28485 487

28490 141.07

28495 171.63

28496 246.28

28505 337.46

28510 119.41

28515 153.89

28525 296.35

28530 114.07

28531 202.17

28540 203.2

28545 226.79

28546 333.32

28555 531.31

28570 185.79

28575 317.81

28576 383.49

28585 614.29

28600 214.41


41/272

28605 262.73

28606 427.77

28615 741.41

28630 148.63

28635 178.1

28636 233.49

28645 330.5928660 109.77

28665 146.76

28666 226.58

28675 276.25

28705 1420.03

28715 1053.43

28725 881.42

28730 902.11

28735 862.94

28737 764.82

28740 677.96

28750 653.2

28755 371.48

28760 625.26

28800 624.21

28805 776.26

28810 477.17

28820 377.4

28825 313.71

28890 392.94

28899 0

29000 255.67

29010 245.51

29015 241.82

29020 243.07

29025 256.14

29035 243.59

29040 165.88

29044 176.98

29046 198.66

29049 96.06

29055 213.88

29058 123.43

29065 98.74

29075 91.04

29085 96.52

29086 70.97

29105 92.09


42/272

29125 71.11

29126 84.65

29130 42.08

29131 54.14

29200 57.32

29220 57.32

29240 66.0829260 55.34

29280 55.66

29305 168.14

29325 189.07

29345 141.34

29355 144.75

29358 157.7

29365 126.95

29405 93.34

29425 99.98

29435 122.81

29440 54.99

29445 157.47

29450 156.21

29505 49.41

29515 71.71

29520 58.74

29530 57.55

29540 42.03

29550 40.84

29580 53.79

29590 56.41

29700 66.05

29705 70.35

29710 127.18

29715 92.03

29720 83.2

29730 69.1

29740 100.63

29750 102.12

29799 0

29800 585.74

29804 704.92

29805 509.99

29806 1145

29807 1116.82

29819 635.54

29820 585.79


43/272

29821 640.56

29822 623.32

29823 679.43

29824 717.93

29825 634.62

29826 727.34

29827 1182.4829830 490.07

29834 534.1

29835 546.19

29836 627.98

29837 573.53

29838 642.25

29840 477.52

29843 511.27

29844 536.38

29845 607.04

29846 561.68

29847 580.05

29848 519.34

29850 586.59

29851 1009.02

29855 851.88

29856 1085.31

29860 692.97

29861 760.54

29862 853.23

29863 842.99

29866 1131.74

29867 1368.58

29868 1831.81

29870 439.81

29871 549.46

29873 557.55

29874 575.74

29875 536.64

29876 690.68

29877 653.75

29879 699.67

29880 730.24

29881 680.99

29882 733.47

29883 905.93

29884 651.16

29885 789.8


44/272

29886 666.14

29887 785.92

29888 1066.61

29889 1296.88

29891 741.71

29892 771.74

29893 442.7429894 557.23

29895 545.61

29897 573.78

29898 635.72

29899 1128.58

29900 506.92

29901 560.49

29902 571.88

30000 241.73

30020 215.93

30100 133.67

30110 220.44

30115 441.18

30117 341.44

30118 802.77

30120 521.56

30124 292.96

30125 660.6

30130 393.11

30140 432.57

30150 866.59

30160 848.57

30200 109.11

30210 143.9

30220 130.67

30300 250.16

30310 218.41

30320 496.83

30400 1127.63

30410 1365.55

30420 1464.57

30430 1027.16

30435 1349.56

30450 1740.72

30460 847.16

30462 1711.9

30465 1027.63

30520 588


45/272

30540 717.64

30545 1020.29

30560 273.02

30580 648.22

30600 473.05

30620 645.28

30630 647.5130801 233.71

30802 190.49

30901 110.09

30903 191.46

30905 111.47

30906 278.78

30915 594.95

30920 845.86

30930 125.85

31000 179.57

31002 218.69

31020 360.96

31030 544.01

31032 593.84

31040 815.95

31050 507.08

31051 664.1

31070 446.29

31075 813.51

31080 1101.66

31081 1267.73

31084 1198.72

31085 1272.69

31086 1163.07

31087 1147.85

31090 1017.12

31200 602.19

31201 759.99

31205 936.41

31225 1850.86

31230 2073.39

31231 199.66

31233 282.66

31235 327.23

31237 353.26

31238 363.7

31239 716.73

31240 179.58


46/272

31254 307.98

31255 456.21

31256 223.42

31267 359.92

31276 574.74

31287 262.68

31288 304.4831290 1252.63

31291 1319.87

31292 1085.01

31293 1180.13

31294 1357.27

31300 1303.18

31320 688.56

31360 1942.32

31365 2451.88

31367 2185.75

31368 2483.07

31370 2083.93

31375 1948.42

31380 1936.45

31382 2099.71

31390 2770.03

31395 2989.62

31400 1067.63

31420 873.88

31500 117.3

31502 37.87

31505 90.08

31510 131.55

31511 134.92

31512 141.83

31513 146.39

31515 118.88

31520 169.56

31525 269.14

31526 175.88

31527 211.22

31528 157.08

31529 179.94

31530 219.25

31531 239.14

31535 211.22

31536 236.98

31540 272


47/272

31541 298.08

31545 394.77

31546 606.8

31560 349.91

31561 382.13

31570 396.78

31571 280.4831575 128.24

31576 243.06

31577 267.08

31578 180.58

31579 252.09

31580 1281.77

31582 2045.88

31584 1614.43

31587 1012.48

31588 1186.59

31590 991.54

31595 819.12

31600 433.01

31601 282.06

31603 242.88

31605 198.6

31610 744

31611 556.43

31612 52.16

31613 461.73

31614 740.98

31615 136.39

31620 79.34

31622 157.29

31623 159.15

31624 159.15

31625 185.74

31628 206.46

31629 220.63

31630 228.23

31631 252.04

31632 59.07

31633 72.78

31635 208.33

31636 248.85

31637 88.1

31638 276.24

31640 290.09


48/272

31641 282.38

31643 192.38

31645 173.85

31646 151.42

31656 122.78

31715 59.25

31717 120.7531720 56.25

31725 103.48

31730 157.21

31750 1398.57

31755 1793.14

31760 1463

31766 1949.34

31770 1436.25

31775 1535.93

31780 1271.22

31781 1532.76

31785 1157.39

31786 1632.75

31800 746.68

31805 887.56

31820 345.68

31825 512.65

31830 361.93

32000 81.76

32002 133.55

32005 121.07

32019 244.3

32020 196.28

32035 736.55

32036 804.1

32095 665.61

32100 1034.27

32110 1543.46

32120 915.85

32124 972.62

32140 1041.12

32141 1464.76

32150 1046.57

32151 1080.36

32160 783.31

32200 1167.01

32201 215.74

32215 856.87


49/272

32220 1703.8

32225 1048.17

32310 974.8

32320 1692.37

32400 93.61

32402 603.15

32405 105.6832420 116.09

32440 1723.51

32442 2967.96

32445 3259.54

32480 1624.4

32482 1728.74

32484 1560.55

32486 2358.6

32488 2395.1

32491 1605.6

32500 1580.47

32501 267.8

32503 2003.5

32504 2280.87

32540 1676.86

32601 338.39

32602 367.02

32603 472.55

32604 527.91

32605 424.51

32606 508.09

32650 754.88

32651 1105.77

32652 1662.03

32653 1071.75

32654 1174.32

32655 1001.71

32656 905.62

32657 889.05

32658 816.51

32659 828.31

32660 1150.94

32661 907.24

32662 1018.95

32663 1498.13

32664 954.17

32665 1260.39

32800 992.88


50/272

32810 966.99

32815 2575.17

32820 1482.97

32851 2930.41

32852 3307.77

32853 3496.94

32854 3783.0632900 1446.94

32905 1442.14

32906 1783.1

32940 1325.46

32960 101.05

32997 380.26

32998 306.69

33010 127.66

33011 129.88

33015 568.17

33020 930.29

33025 864.31

33030 1371.29

33031 1520.98

33050 1066.41

33120 1680.37

33130 1466.96

33140 1658.44

33141 184.28

33202 840.55

33203 860.4

33206 505.39

33207 587.33

33208 551.41

33210 192.88

33211 199.16

33212 380.96

33213 432.09

33214 543.42

33215 346.77

33216 428.7

33217 428.58

33218 440.86

33220 443.76

33222 401.12

33223 475.3

33224 554.17

33225 491.58


51/272

33226 534.49

33233 284.09

33234 547.46

33235 717.91

33236 867.75

33237 929.4

33238 1024.2533240 519.38

33241 265.88

33243 1473.86

33244 971.12

33249 998.05

33250 1577.47

33251 1738.23

33254 1461.8

33255 1757.38

33256 2096.36

33261 1738.99

33265 1461.8

33266 1995.32

33282 372.74

33284 279.6

33300 2270.71

33305 3637.26

33310 1282.96

33315 1589.4

33320 1149.66

33321 1337.11

33322 1483.32

33330 1509.99

33332 1498.24

33335 2028.89

33400 2411.03

33401 1621.87

33403 1693.93

33404 1969.49

33405 2543.99

33406 3038.23

33410 2666.99

33411 3408.27

33412 2764.49

33413 3425.85

33414 2298.22

33415 2105.25

33416 2151.21


52/272

33417 1849.79

33420 1458.55

33422 1865.5

33425 2665.79

33426 2572.51

33427 2746.65

33430 2897.2233460 2360.33

33463 2940.02

33464 2466.76

33465 2701.3

33468 2023.71

33470 1302.55

33471 1402.87

33472 1479.03

33474 2158.02

33475 2471.54

33476 1619.36

33478 1743

33496 1833.47

33500 1704.49

33501 1177

33502 1409.64

33503 1356.01

33504 1592.79

33505 2098.05

33506 2264.97

33507 1926.72

33508 17.7

33510 2180.37

33511 2355.31

33512 2604.41

33513 2676.94

33514 2792.38

33516 2905.2

33517 191.13

33518 405.11

33519 546.53

33521 670.79

33522 774.97

33523 892.39

33530 512.09

33533 2140.41

33534 2442.08

33535 2669.03


53/272

33536 2838.05

33542 2605.47

33545 3092.01

33548 3114.56

33572 255

33600 1864.56

33602 1816.2933606 1945.28

33608 2000.82

33610 1934.35

33611 2118.67

33612 2229.87

33615 2092.18

33617 2404.86

33619 2980.98

33641 1677.23

33645 1717.39

33647 1835.94

33660 1948.49

33665 2065.94

33670 2132.86

33675 2342.43

33676 2414.15

33677 2508.99

33681 2024.11

33684 2101.36

33688 1938.81

33690 1276.48

33692 1927.17

33694 2126.87

33697 2316.4

33702 1713.74

33710 1910.04

33720 1706.72

33722 1709.28

33724 1662.54

33726 2188.01

33730 2170.63

33732 1843.51

33735 1311.16

33736 1548.74

33737 1418.12

33750 1349.49

33755 1351.72

33762 1386.41


54/272

33764 1407.82

33766 1512.03

33767 1593.12

33768 460.22

33770 2297.02

33771 2273.47

33774 2004.1833775 2044.21

33776 2176.3

33777 2123.67

33778 2578.37

33779 2378.93

33780 2565.21

33781 2455.06

33786 2477.57

33788 1691.14

33800 1098.48

33802 1170.08

33803 1299.95

33813 1387.88

33814 1684.77

33820 1092.37

33822 1134.97

33824 1300.67

33840 1330.03

33845 1471.4

33851 1406.96

33852 1491.36

33853 2034.99

33860 3231.07

33861 2672.26

33863 3309.39

33870 2785.7

33875 2150.21

33877 3601.14

33880 1973.9

33881 1705.45

33883 1258.13

33884 449.82

33886 1093.23

33889 901.36

33891 1160.56

33910 1765.39

33915 1420.24

33916 1708.38


55/272

33917 1615.36

33920 1985.63

33922 1522.21

33924 323.75

33925 1960.59

33926 2673.22

33935 3898.4333945 4646.71

33960 1054.67

33961 598.22

33967 285.43

33968 37.7

33970 389.95

33971 767.75

33973 569.8

33974 983.52

33975 1189.49

33976 1329.67

33977 1342.98

33978 1489.2

33979 2653.17

33980 3897.46

34001 1039.77

34051 1061

34101 692.45

34111 693

34151 1577.63

34201 1041.15

34203 1102.78

34401 1578.42

34421 830.33

34451 1708.74

34471 1098

34490 694.85

34501 1084.9

34502 1722.52

34510 1233.55

34520 1193.74

34530 1115.42

34800 1293.21

34802 1402.44

34803 1442.83

34804 1400.86

34805 1333.4

34808 235.63


56/272

34812 391.89

34813 271.77

34820 559

34825 793.12

34826 230.49

34830 2074.95

34831 2137.4434832 2230.41

34833 700.89

34834 321.23

34900 1033.02

35001 1294.25

35002 1360.87

35005 1173.3

35011 1134.32

35013 1402.39

35021 1355.64

35022 1522.13

35045 1094.66

35081 1916.43

35082 2445.03

35091 2097.36

35092 2914.64

35102 2083.16

35103 2535.26

35111 1565.11

35112 1895.26

35121 1878.78

35122 2200.32

35131 1595.36

35132 1915.46

35141 1274.06

35142 1512.8

35151 1436.4

35152 1657.74

35180 902.56

35182 1916.73

35184 1158.44

35188 977.05

35189 1791.52

35190 848.7

35201 1065.21

35206 871.16

35207 790.91

35211 1515.46


57/272

35216 1927.73

35221 1556.15

35226 967.43

35231 1319.62

35236 1106.82

35241 1580.33

35246 1726.2235251 1860.52

35256 1170.33

35261 1160.78

35266 973.25

35271 1505.68

35276 1586.2

35281 1780.48

35286 1075.76

35301 1198.44

35302 1232.79

35303 1353.66

35304 1408.07

35305 1353.66

35306 504.39

35311 1707.32

35321 1023.16

35331 1663.33

35341 1587.16

35351 1461.99

35355 1191.05

35361 1792.91

35363 1918.43

35371 950.67

35372 1138.23

35390 182.61

35400 174.91

35450 581.07

35452 406.64

35454 357.94

35456 433.91

35458 553.87

35459 504.95

35460 354.6

35470 502.1

35471 589.81

35472 405.63

35473 355.55

35474 428.74


58/272

35475 536.87

35476 341.36

35480 645.7

35481 453.66

35482 393.45

35483 480.93

35484 601.0235485 560.46

35490 674.16

35491 470.42

35492 415.43

35493 501.74

35494 624

35495 584.18

35500 363.99

35501 1657.97

35506 1471.54

35508 1503.21

35509 1614.88

35510 1425.31

35511 1339.54

35512 1397.45

35515 1489.85

35516 1309.9

35518 1350.4

35521 1444.44

35522 1360.94

35525 1289.63

35526 1951.66

35531 2283.15

35533 1773.38

35536 1993.08

35537 2378.37

35538 2655.88

35539 2496.34

35540 2781.4

35548 1368.35

35549 1494.09

35551 1683.38

35556 1545.74

35558 1391.7

35560 2024.33

35563 1562.19

35565 1501.95

35566 1853.67


59/272


60/272

35800 539.77

35820 1845.3

35840 693.89

35860 458.59

35870 1453.07

35875 678.59

35876 1080.7335879 1065.3

35881 1188.34

35883 1391.61

35884 1477.41

35901 583.45

35903 667.06

35905 1989.08

35907 2186.7

36000 31.88

36002 121.65

36005 51.82

36010 133.67

36011 174.37

36012 193.41

36013 138.39

36014 166.31

36015 190.36

36100 174.92

36120 109.24

36140 110.91

36145 108.58

36160 141.53

36200 167.72

36215 260.1

36216 291.8

36217 350.89

36218 55.98

36245 267.59

36246 295.33

36247 352.01

36248 56.44

36260 638.38

36261 395.98

36262 296.76

36400 28.57

36405 25.16

36406 20.36

36410 20.83


61/272

36415 4.08

36416 4.08

36420 52.29

36425 40.55

36430 47.86

36440 57.47

36450 124.7536455 140.1

36460 371.51

36470 165.81

36471 202.22

36475 2456.03

36476 473.18

36478 2238.53

36479 482.4

36481 394.05

36500 199.2

36510 69.21

36511 99.41

36512 100.33

36513 102.31

36514 98.48

36515 2874.78

36516 69.75

36522 110.31

36540 32.64

36550 30.87

36555 138.96

36556 132.56

36557 329.35

36558 314.02

36560 388.15

36561 376.73

36563 396.12

36565 375.81

36566 401.82

36568 102.04

36569 101.3

36570 339.99

36571 340.03

36575 43.85

36576 207.91

36578 238.45

36580 74.87

36581 219.84


62/272

36582 325.79

36583 328.83

36584 76.72

36585 305.81

36589 155.22

36590 217.71

36595 205.736596 51.28

36597 67.58

36598 123.62

36600 35.34

36620 55.42

36625 112.38

36640 132.68

36660 74.94

36680 69.58

36800 180.24

36810 238.01

36815 163.37

36818 774.95

36819 889.42

36820 890.43

36821 593.77

36822 429.9

36823 1383.32

36825 647.25

36830 738.47

36831 512.7

36832 652.2

36833 735.51

36834 680.67

36835 507.32

36838 1323.25

36860 109.96

36861 169.55

36870 341.23

37140 1475.26

37145 1574.96

37160 1380.32

37180 1557.59

37181 1667.93

37182 937.68

37183 448.57

37184 491.16

37185 179.35


63/272

37186 269.19

37187 456.38

37188 330.42

37195 313.2

37200 246.79

37201 310.3

37202 371.5637203 288.9

37204 995.05

37205 504.33

37206 232.54

37207 489.23

37208 235.63

37209 123.29

37210 561.42

37215 1200.59

37216 1111.93

37250 121.62

37251 91.63

37500 786.58

37565 748.81

37600 797.26

37605 906.08

37606 584.53

37607 421

37609 215.06

37615 501.36

37616 1161.33

37617 1402.31

37618 410.23

37620 716.27

37650 561.03

37660 1325.31

37700 284.23

37718 448.49

37722 529.12

37735 701.7

37760 688.74

37765 503.01

37766 605.87

37780 291.14

37785 288.29

37788 1403.26

37790 544.09

38100 1089.68


64/272

38101 1111.58

38102 273.5

38115 1206.98

38120 1051.2

38200 145.34

38204 118.74

38205 88.0338206 88.03

38207 52.41

38208 32.98

38209 14.56

38210 92.71

38211 83.72

38212 55.77

38213 14.56

38214 47.66

38215 55.77

38220 65.09

38221 82.6

38230 340.65

38240 133.91

38241 134.37

38242 101.8

38300 185.04

38305 469.48

38308 452.41

38380 589

38381 873.19

38382 704.38

38500 253.71

38505 80.59

38510 431.1

38520 472.76

38525 419.87

38530 548.69

38542 447.15

38550 477.29

38555 1019.09

38562 717.5

38564 711.23

38570 571.51

38571 865.69

38572 1015.46

38700 783.91

38720 1285.15


65/272

38724 1386.2

38740 671.82

38745 855.47

38746 281.1

38747 278.11

38760 847.36

38765 1308.2838770 851.79

38780 1100.71

38790 87.47

38792 42.45

38794 332.2

39000 523.04

39010 885.46

39200 968.55

39220 1233.81

39400 544.54

39501 875.12

39502 1040.78

39503 5967.22

39520 1060.98

39530 1003.47

39531 1055.87

39540 887.54

39541 954.37

39545 955.57

39560 823.91

39561 1257.62

40490 128.07

40500 504.25

40510 498.9

40520 535.13

40525 594.34

40527 701.84

40530 429.5

40650 301.95

40652 374.56

40654 447.36

40700 976.49

40701 1219.73

40702 940.36

40720 1056.97

40761 1116.39

40800 195.71

40801 302.19


66/272

40804 209.89

40805 327.21

40806 103.87

40808 172.44

40810 195.11

40812 278.08

40814 379.240816 398.49

40818 289.51

40819 299.19

40820 247.49

40830 168.76

40831 241.73

40840 682.68

40842 837.05

40843 1071.37

40844 1193.75

40845 1357.09

40899 0

41000 162.53

41005 215.7

41006 361.99

41007 367.55

41008 366.86

41009 391.3

41010 199.93

41015 354.78

41016 365.68

41017 440.79

41018 504.32

41100 170.74

41105 167.92

41108 142.57

41110 204.87

41112 326.96

41113 359.5

41114 673.31

41115 156.5

41116 312.06

41120 1118.32

41130 1341.13

41135 2216.51

41140 2328.07

41145 2857.93

41150 2272.58


67/272

41153 2434.65

41155 2945.52

41250 137.79

41251 242.85

41252 222.72

41500 483.09

41510 491.1641520 275.43

41599 0

41800 118.29

41805 199.03

41806 307.42

41820 249.64

41821 56.28

41822 286.99

41823 419.86

41825 203.18

41826 241.46

41827 418.65

41828 311.22

41830 383.37

41850 125.42

41870 312.32

41872 360.78

41874 367.25

41899 0

42000 166.54

42100 151.79

42104 194.88

42106 250.66

42107 361.25

42120 994.8

42140 161.09

42145 720.78

42160 263.21

42180 194.96

42182 290.57

42200 957.64

42205 999.86

42210 1146.22

42215 778.05

42220 603.61

42225 1121.55

42226 1059.3

42227 1051.7


68/272

42235 850.83

42260 735.63

42280 158.63

42281 161.79

42299 0

42300 209.8

42305 457.0142310 166.9

42320 188.7

42330 235.97

42335 275.14

42340 361.69

42400 110.03

42405 315.46

42408 347.84

42409 330.86

42410 658.85

42415 1189.53

42420 1367.25

42425 903.71

42426 1460.25

42440 491.11

42450 378.65

42500 363.49

42505 488.45

42507 542.25

42508 757.81

42509 921.83

42510 675.73

42550 67.44

42600 378.64

42650 83.27

42660 108.74

42665 219.48

42699 0

42700 189.66

42720 416.23

42725 852.59

42800 158.55

42802 271.22

42804 126.12

42806 148.37

42808 177.54

42809 179.39

42810 295.6


69/272

42815 580.05

42820 310.23

42821 326.33

42825 275.53

42826 270.02

42830 218.68

42831 236.842835 200.36

42836 259.84

42842 981.66

42844 1422.21

42845 2303.22

42860 197.77

42870 607.45

42890 1394.45

42892 1804.29

42894 2329.42

42900 372.67

42950 859.95

42953 1128.76

42955 801.29

42960 180.67

42961 448.24

42962 553.25

42970 414.39

42971 487.5

42972 552.44

42999 0

43020 573.04

43030 558.91

43045 1391.05

43100 664.29

43101 1075.38

43107 2656.17

43108 4019.4

43112 2843.85

43113 3983.38

43116 4481.23

43117 2588.47

43118 3366.91

43121 2737.39

43122 2623.26

43123 4030.07

43124 3432.35

43130 836.02


70/272

43135 1454.55

43200 112.02

43201 135.09

43202 119.8

43204 226.33

43205 227.8

43215 161.3743216 147.64

43217 175.43

43219 177.87

43220 131.18

43226 144.78

43227 215.68

43228 227.83

43231 192.91

43232 269.54

43234 123.26

43235 147.31

43236 178.08

43237 244.54

43238 300.12

43239 174.54

43240 406.04

43241 158.74

43242 429.28

43243 271.56

43244 300.09

43245 192.24

43246 256.79

43247 204.21

43248 191.72

43249 177.16

43250 193.53

43251 222.09

43255 286.91

43256 258.76

43257 318.03

43258 270.73

43259 306.52

43260 352.42

43261 370.67

43262 434.85

43263 430.66

43264 522.03

43265 585.38


71/272

43267 433.93

43268 440.38

43269 482.49

43271 434.85

43272 435.77

43280 1084.39

43289 043300 665

43305 1184.94

43310 1609

43312 1764.64

43313 2848.11

43314 3103.13

43320 1385.85

43324 1354.31

43325 1334.3

43326 1360.19

43330 1309.95

43331 1411.91

43340 1357.85

43341 1469.35

43350 1156.89

43351 1355.91

43352 1119.45

43360 2375.58

43361 2641.03

43400 1506.55

43401 1532.5

43405 1471.41

43410 1021.38

43415 1744.33

43420 1009.88

43425 1505.13

43450 90.04

43453 97.31

43456 158.46

43458 186.01

43460 224.26

43496 0

43499 0

43500 759.9

43501 1316.81

43502 1498.55

43510 920.95

43520 705.68


72/272

43600 108.74

43605 812.45

43610 960.57

43611 1190.87

43620 1946.84

43621 2176.58

43622 2227.5143631 1435.78

43632 1863.13

43633 1791.64

43634 1970

43635 117.14

43640 1143.99

43641 1160.57

43644 1713.01

43645 1844.12

43647 0

43648 0

43651 645.02

43652 768.36

43653 544.99

43659 0

43750 286.08

43752 42.51

43760 64.65

43761 109.33

43770 1099.19

43771 1254.86

43772 944.88

43773 1255.24

43774 950.05

43800 911.48

43810 984.1

43820 1226.1

43825 1268.78

43830 674.45

43831 566.01

43832 1035.75

43840 1251.39

43842 1217.29

43843 1235.35

43845 1901.35

43846 1595.84

43847 1753.87

43848 1897.41


73/272

43850 1593.21

43855 1663.39

43860 1611.92

43865 1688.27

43870 684.61

43880 1579.76

43881 043882 0

43886 325.34

43887 306.36

43888 436.91

43999 0

44005 1073.34

44010 841.49

44015 149.08

44020 945.61

44021 953.44

44025 962.48

44050 918.13

44055 1459.79

44100 116.35

44110 822.88

44111 964.54

44120 1184.25

44121 252.85

44125 1159.78

44126 2388.53

44127 2757.77

44128 253.05

44130 1196.09

44139 126.44

44140 1330.62

44141 1687.33

44143 1631.79

44144 1670.63

44145 1666.8

44146 2034.98

44147 1772.98

44150 1792.5

44151 2049.79

44155 2014.08

44156 2224.27

44157 2191.16

44158 2247.12

44160 1217.58


74/272

44180 915.97

44186 647.61

44187 1096.7

44188 1205.51

44202 1377.66

44203 251.55

44204 1543.3144205 1350.71

44206 1743.79

44207 1836.15

44208 2000.3

44210 1780.9

44211 2196.2

44212 2047.41

44213 199.46

44227 1664.96

44238 0

44300 822.37

44310 1031.46

44312 573.61

44314 989.77

44316 1365.71

44320 1172.64

44322 952.17

44340 581.26

44345 1027

44346 1147.29

44360 159.37

44361 175.55

44363 210.66

44364 223.97

44365 200.15

44366 263.55

44369 268.52

44370 290.05

44372 261.9

44373 209.28

44376 309.82

44377 326.85

44378 419.09

44379 440.28

44380 69.58

44382 82.58

44383 179.87

44385 245.42


75/272

44386 129.45

44388 170.69

44389 189.11

44390 226.8

44391 257.75

44392 226.21

44393 283.4844394 262.47

44397 278.73

44500 26.72

44602 1306.82

44603 1490.45

44604 1045.46

44605 1295.48

44615 1057.79

44620 839.11

44625 999.71

44626 1601.43

44640 1392.19

44650 1446

44660 1368.57

44661 1560.26

44680 1039.42

44700 1019.78

44701 175.02

44715 0

44720 273.96

44721 400.89

44799 0

44800 749.57

44820 821.63

44850 731

44899 0

44900 733.49

44901 183.04

44950 636.66

44955 88.14

44960 843.92

44970 580.36

44979 0

45000 393.42

45005 156.71

45020 499.51

45100 278.19

45108 340.56


76/272

45110 1830.61

45111 1072.4

45112 1886.38

45113 1932.72

45114 1762.59

45116 1589.78

45119 1934.1745120 1545.33

45121 1702.01

45123 1085.12

45126 2847.19

45130 1063.54

45135 1311.93

45136 1816.6

45150 379.71

45160 970.58

45170 758.52

45190 649.8

45300 90.69

45303 34.1

45305 65.31

45307 61.9

45308 55.17

45309 121.9

45315 87.29

45317 91.94

45320 97.98

45321 75.08

45327 100.46

45330 145.98

45331 75.52

45332 112.3

45333 111.46

45334 166.51

45335 92.94

45337 144.51

45338 143.39

45339 190.12

45340 117.04

45341 157.94

45342 240.79

45345 175.6

45355 210.24

45378 221.08

45379 277.44


77/272

45380 264.11

45381 249.86

45382 336.2

45383 344.07

45384 277.94

45385 313.74

45386 271.9145387 352.63

45391 303.56

45392 381.38

45395 1979.76

45397 2139.39

45400 1149.27

45402 1535.79

45499 0

45500 485.4

45505 529.99

45520 113.86

45540 1042.43

45541 887.91

45550 1439.64

45560 706.34

45562 1068.24

45563 1582.34

45800 1184.91

45805 1374.94

45820 1184.35

45825 1447.35

45900 192.82

45905 165.32

45910 194.76

45915 224.7

45990 109.86

45999 0

46020 212.18

46030 119.82

46040 388.67

46045 381.15

46050 174.8

46060 420.54

46070 205.67

46080 156.48

46083 172.9

46200 286.15

46210 242.97


78/272

46211 346.85

46220 178.53

46221 228.85

46230 254.26

46250 296.31

46255 337.15

46257 378.946258 418.89

46260 432.78

46261 488.33

46262 504.74

46270 338.94

46275 365.81

46280 420.45

46285 354.99

46288 496.85

46320 168.12

46500 181.56

46505 264.89

46600 91.01

46604 512.78

46606 53.88

46608 91.81

46610 83.93

46611 110.1

46612 142.61

46614 192.12

46615 224.14

46700 600.98

46705 480.29

46706 160.26

46710 1043.39

46712 2174.73

46715 481.58

46716 1083.94

46730 1764.47

46735 2073.24

46740 1960.46

46742 2383.27

46744 3393.17

46746 3802.64

46748 3827.3

46750 730.81

46751 615.47

46753 549.36


79/272

46754 281.2

46760 1040.26

46761 900.51

46762 862.28

46900 208.47

46910 222.26

46916 226.6446917 130.38

46922 128.91

46924 177.79

46934 390.52

46935 261.51

46936 389.8

46937 249.66

46938 344.35

46940 196.96

46942 178.7

46945 254.82

46946 289.03

46947 362.14

46999 0

47000 103.89

47001 108.28

47010 1169.35

47011 199.66

47015 1101.44

47100 814.67

47120 2305.89

47122 3438.6

47125 3084.02

47130 3318.58

47133 0

47135 4884.79

47136 4145.19

47140 3420.36

47141 4072.61

47142 4480.35

47143 0

47144 0

47145 0

47146 343.17

47147 400.43

47300 1083.19

47350 1338.54

47360 1818.66


80/272

47361 3007.7

47362 1374.02

47370 1235.28

47371 1242.68

47379 0

47380 1438.49

47381 1462.3347382 870.36

47399 0

47400 2080.25

47420 1316.55

47425 1328.33

47460 1235.72

47480 822.48

47490 561.12

47500 105.96

47505 40.72

47510 532.29

47511 647.73

47525 342.07

47530 398.52

47550 171.86

47552 346.19

47553 342.56

47554 522.36

47555 408.67

47556 461.65

47560 278.48

47561 301.15

47562 721.01

47563 748.7

47564 868.2

47570 773.04

47579 0

47600 1008.38

47605 963.36

47610 1231.97

47612 1240.98

47620 1347.94

47630 597.98

47700 1027.54

47701 1716.62

47711 1527.13

47712 1960.43

47715 1281.11


81/272

47719 1152.48

47720 1104.34

47721 1303.83

47740 1263.72

47741 1430.14

47760 2074.39

47765 2629.2747780 2250.47

47785 2892.62

47800 1545.11

47801 1063.21

47802 1474.32

47900 1337.28

47999 0

48000 1838.12

48001 2274.86

48020 1125.93

48100 856.95

48102 270.1

48105 2791.54

48120 1077.65

48140 1526.46

48145 1586.11

48146 1814.79

48148 1196.42

48150 3079.12

48152 2842.6

48153 3077.91

48154 2857.86

48155 1753.39

48160 3148.7

48400 109.89

48500 1093.34

48510 1047.57

48511 216.2

48520 1059.76

48540 1281.47

48545 1281.53

48547 1735.54

48548 1629.31

48550 0

48551 0

48552 235.48

48554 2403.19

48556 1181.42


82/272

48999 0

49000 765.93

49002 952.31

49010 928.16

49020 1557.78

49021 182.29

49040 971.6949041 216.2

49060 1090.93

49061 199.66

49062 750.9

49080 73.85

49081 69.99

49180 93.7

49200 683.42

49201 970.94

49215 2198.9

49220 956.42

49250 569.75

49255 774.23

49320 333.35

49321 347.79

49322 382.19

49323 631.41

49324 389.93

49325 419.42

49326 189.32

49329 0

49400 103.26

49402 836.37

49419 454.26

49420 141.84

49421 391.52

49422 394.17

49423 81.13

49424 42.57

49425 763.37

49426 649.23

49427 49.12

49428 453.95

49429 466.52

49435 121.79

49436 185.82

49491 752.33

49492 916.77


83/272

49495 393.12

49496 584.79

49500 390.4

49501 581.73

49505 506.36

49507 624.54

49520 620.5949521 758.74

49525 560.42

49540 665.94

49550 564.25

49553 616.14

49555 587.39

49557 713

49560 732.04

49561 917.09

49565 753.68

49566 926.4

49568 278.11

49570 398.39

49572 487.31

49580 307.76

49582 456.79

49585 427.75

49587 507.31

49590 559.18

49600 720.58

49605 4876.24

49606 1138.86

49610 677.07

49611 657.13

49650 418.46

49651 540.08

49659 0

49900 804.97

49904 1594.16

49905 371.13

50010 746.57

50020 1081.58

50021 182.29

50040 990.15

50045 993.52

50060 1225.83

50065 1231.46

50070 1280.34


84/272

50075 1572.82

50080 937.48

50081 1372.25

50100 1073.95

50120 1017.03

50125 1066.93

50130 1106.550135 1205.97

50200 161.29

50205 740.35

50220 1103.16

50225 1276.5

50230 1374.31

50234 1397.46

50236 1580.78

50240 1412.13

50250 1314.31

50280 1015.37

50290 967.18

50320 1429.8

50327 219.4

50328 192.27

50329 183.84

50340 890.63

50360 2401.75

50365 2721.07

50370 1112.59

50380 1803.54

50382 301.16

50384 274.48

50387 109

50389 60.21

50390 105.96

50391 150.02

50392 200.26

50393 242.65

50394 59.07

50395 201.1

50396 130.66

50398 81.13

50400 1240.43

50405 1489.18

50500 1257.67

50520 1120

50525 1408.77


85/272

50526 1481.6

50540 1244.58

50541 992.72

50542 1252.55

50543 1598.38

50544 1355.04

50545 1453.8750546 1288.47

50547 1611.02

50548 1466.13

50549 0

50551 322.38

50553 341.11

50555 375.22

50557 379.23

50561 433.55

50562 645.2

50570 541.23

50572 591.23

50574 623.23

50575 788.13

50576 621.39

50580 669.4

50590 597.7

50592 401.97

50600 1007.64

50605 1000.03

50610 1038.34

50620 970.73

50630 953.06

50650 1109.18

50660 1230.44

50684 53.54

50686 202.83

50688 93.07

50690 78.41

50700 1006.67

50715 1245.68

50722 1096.75

50725 1193.96

50727 541.53

50728 759.88

50740 1187.79

50750 1226.38

50760 1179.47


86/272

50770 1239.59

50780 1174.34

50782 1188.5

50783 1239.47

50785 1293.88

50800 981.03

50810 1345.450815 1306.55

50820 1399.41

50825 1773.47

50830 1945.46

50840 1312.13

50845 1338.35

50860 1013.16

50900 903.23

50920 945.85

50930 1189.19

50940 951.45

50945 1062.09

50947 1516.05

50948 1387.16

50949 0

50951 335.6

50953 367.85

50955 402.13

50957 389.05

50961 347.62

50970 408.45

50972 394.99

50974 518.23

50976 509.4

50980 390.66

51000 108.74

51005 232.16

51010 261.69

51020 494.16

51030 500.98

51040 315.15

51045 501.97

51050 500.06

51060 619.34

51065 613.72

51080 434.42

51500 685.8

51520 638.81


87/272

51525 918.99

51530 828.41

51535 857.38

51550 1021.97

51555 1354.56

51565 1386.8

51570 1574.2351575 1959.3

51580 2030.35

51585 2264.23

51590 2071.47

51595 2348.31

51596 2518.95

51597 2439.68

51600 48.33

51605 42.57

51610 70.12

51700 107.77

51701 86.95

51702 109.53

51703 179.14

51705 142.98

51710 206.57

51715 216.88

51720 140.41

51725 304.69

51725TC 220.37

5172526 84.32

51726 411.97

51726TC 316.13

5172626 95.84

51736 55.9

51736TC 21.57

5173626 34.33

51741 88.71

51741TC 24.71

5174126 64

51772 318.21

51772TC 227.2

5177226 91.01

51784 245.16

51784TC 160.01

5178426 85.15

51785 268.28

51785TC 183.05


88/272

5178526 85.24

51792 312.98

51792TC 250.46

5179226 62.52

51795 394.85

51795TC 309.24

5179526 85.6151797 321.74

51797TC 232.27

5179726 89.48

51798 21.42

51798TC 21.42

51800 1126.09

51820 1197.38

51840 719.03

51841 852.46

51845 637.06

51860 786.39

51865 959.46

51880 508.93

51900 887.29

51920 823.51

51925 1139.46

51940 1765.49

51960 1485.71

51980 766.15

51990 827.21

51992 894.02

52000 245.16

52001 312.06

52005 141.59

52007 179.88

52010 179.5

52204 150.33

52214 215.39

52224 184.02

52234 268.98

52235 315.28

52240 553.3

52250 263.63

52260 228.62

52265 667.31

52270 197.66

52275 271.46

52276 289.39


89/272

52277 356.52

52281 418.29

52282 367.44

52283 218.53

52285 333.32

52290 266.49

52300 308.5652301 315.78

52305 305.33

52310 321.02

52315 300.31

52317 382

52318 521.28

52320 269.62

52325 351.96

52327 297.18

52330 289.16

52332 168.31

52334 279.95

52341 356.33

52342 383.01

52343 422.08

52344 453.73

52345 481.79

52346 539.06

52351 341.96

52352 401.95

52353 462.58

52354 427.89

52355 510.13

52400 592.91

52402 296.08

52450 495.58

52500 580.73

52510 462.1

52601 872.3

52606 538.16

52612 557.09

52614 487.52

52620 442.71

52630 470.86

52640 428.76

52647 680.53

52648 727.15

52700 461.59


90/272

53000 165.91

53010 315.62

53020 105.28

53025 72.43

53040 428.76

53060 173.1

53080 536.4753085 754.86

53200 153.3

53210 831.6

53215 1000.5

53220 485.37

53230 649.51

53235 682.29

53240 456.98

53250 425.98

53260 191.69

53265 198.13

53270 200.46

53275 291.1

53400 860.98

53405 941.52

53410 1055.1

53415 1198.24

53420 889.4

53425 1020.04

53430 1030.82

53431 1243.35

53440 922.24

53442 811.81

53444 856.35

53445 951.57

53446 695.1

53447 883.54

53448 1381.13

53449 654.96

53450 434.18

53460 491.22

53500 814.22

53502 523.52

53505 520.99

53510 688.24

53515 860.37

53520 597.42

53600 101.51


91/272

53601 98.97

53605 71.28

53620 153.06

53621 146.48

53660 88.74

53661 88.7

53665 42.3953850 4215.63

53852 4027.66

53853 2468.34

54000 111.41

54001 146.1

54015 337.96

54050 131.36

54055 126.38

54056 134.76

54057 94.41

54060 220.2

54065 224.6

54100 210.05

54105 235.63

54110 669.71

54111 862.15

54112 1013.31

54115 488.87

54120 671.94

54125 870.39

54130 1279.37

54135 1631.28

54150 127.04

54160 155.14

54161 210.93

54162 336.53

54163 232.39

54164 203.87

54200 128.42

54205 583.41

54220 145.5

54230 106.94

54231 150.9

54235 96.62

54240 108.68

54240TC 34.96

5424026 73.73

54250 135.65


92/272

54250TC 11.81

5425026 123.85

54300 712.39

54304 833.5

54308 790.56

54312 922.98

54316 1104.2754318 781.13

54322 865.7

54324 1080.25

54326 1050.95

54328 1024.49

54332 1109.83

54336 1375.2

54340 629.44

54344 1069.6

54348 1084.09

54352 1596.95

54360 798.62

54380 851.05

54385 1024.31

54390 1309.38

54400 580.26

54401 702.68

54405 871.5

54406 784.62

54408 839.66

54410 993.69

54411 1083.67

54415 562.87

54416 749.04

54417 951.64

54420 767.8

54430 691.68

54435 448.33

54440 622.11

54450 87.68

54500 81.19

54505 233.33

54512 577.59

54520 353.82

54522 646.46

54530 588.87

54535 801.93

54550 525.48


93/272

54560 730.9

54600 482.39

54620 328.14

54640 497.88

54650 775.9

54660 381.29

54670 440.754680 864.3

54690 712.54

54692 833.32

54700 232.93

54800 138.44

54830 391.9

54840 348.65

54860 443.4

54861 602.3

54865 377.81

54900 818.24

54901 1108.87

55000 150.17

55040 363.04

55041 539.26

55060 400.59

55100 174.16

55110 408.4

55120 375.36

55150 515.48

55175 383.18

55180 737.41

55200 700.34

55250 618.42

55300 203.88

55400 545.77

55450 484.62

55500 404.13

55520 428.63

55530 380.97

55535 455.57

55540 521.46

55550 452.8

55600 452.75

55605 550.42

55650 767.61

55680 373.38

55700 288.22


94/272

55705 295.52

55720 509.33

55725 622.92

55801 1168.27

55810 1413.44

55812 1737.41

55815 1904.6155821 936.72

55831 1015.23

55840 1440.62

55842 1543.77

55845 1766.35

55860 945.99

55862 1193.95

55865 1440.68

55866 1875.83

55870 183.64

55873 1247.8

55875 823.09

Documents

Copy of 2015 Sbip Cigna Ppo 105 Rbrvs La Schedule