FSA/HSA Eligible

$41.04

$35.21

$38.13

$13.35

$45.54

$76.78

$76.78

$26.87

$17.21

$6.02

$66.99

$23.45

$129.21

$45.22

$50.31

$177.93

$62.28

$20.92

$7.32