Individual

$5,099.00

$4,499.00

$4,649.00

$5,049.00

$3,449.00

$12,699.00

$4,799.00

$4,949.00

$4,999.00

$39,399.00

$8,399.00

$4,949.00

$20,249.00

$7,849.00

$5,449.00

$5,799.00

$5,599.00

$5,849.00

$5,649.00

$5,499.00

$5,399.00

$5,449.00

$5,649.00