pbp_a_hnumber	pbp_a_plan_identifier	segment_id	pbp_a_ben_cov	pbp_a_plan_type	orgtype	bid_id	version	pbp_b10a_maxenr_yn	pbp_b10a_maxenr_ehc	pbp_b10a_maxenr_gas_amt	pbp_b10a_maxenr_gas_per	pbp_b10a_maxenr_gas_per_d	pbp_b10a_maxenr_aas_amt	pbp_b10a_maxenr_aas_per	pbp_b10a_maxenr_aas_per_d	pbp_b10a_coins_yn	pbp_b10a_coins_ehc	pbp_b10a_coins_gas_pct_min	pbp_b10a_coins_gas_pct_max	pbp_b10a_coins_aas_pct_min	pbp_b10a_coins_aas_pct_max	pbp_b10a_coins_wav_yn	pbp_b10a_ded_yn	pbp_b10a_ded_ehc	pbp_b10a_ded_gas_amt	pbp_b10a_ded_aas_amt	pbp_b10a_copay_yn	pbp_b10a_copay_ehc	pbp_b10a_copay_gas_amt_min	pbp_b10a_copay_gas_amt_max	pbp_b10a_copay_aas_amt_min	pbp_b10a_copay_aas_amt_max	pbp_b10a_copay_wav_yn	pbp_b10a_auth_yn	pbp_b10b_bendesc_yn	pbp_b10b_bendesc_trn	pbp_b10b_bendesc_amo_pal	pbp_b10b_bendesc_lim_pal	pbp_b10b_bendesc_amt_pal	pbp_b10b_bendesc_per_pal	pbp_b10b_bendesc_per_pal_d	pbp_b10b_bendesc_tt_pal	pbp_b10b_bendesc_tt_pal_d	pbp_b10b_bendesc_amt_pal_days	pbp_b10b_bendesc_mt_pal	pbp_b10b_bendesc_mt_pal_d	pbp_b10b_bendesc_amo_al	pbp_b10b_bendesc_lim_al	pbp_b10b_bendesc_amt_al	pbp_b10b_bendesc_per_al	pbp_b10b_bendesc_per_al_d	pbp_b10b_bendesc_tt_al	pbp_b10b_bendesc_tt_al_d	pbp_b10b_bendesc_amt_al_days	pbp_b10b_bendesc_mt_al	pbp_b10b_bendesc_mt_al_d	pbp_b10b_maxplan_yn	pbp_b10b_maxplan_amt	pbp_b10b_maxplan_per	pbp_b10b_maxplan_per_d	pbp_b10b_maxenr_yn	pbp_b10b_maxenr_amt	pbp_b10b_maxenr_per	pbp_b10b_maxenr_per_d	pbp_b10b_coins_yn	pbp_b10b_coins_pct_min	pbp_b10b_coins_pct_max	pbp_b10b_ded_yn	pbp_b10b_ded_amt	pbp_b10b_copay_yn	pbp_b10b_copay_amt_min	pbp_b10b_copay_amt_max	pbp_b10b_auth_yn	pbp_b10b_refer_yn
H0016	001	0	1	20	08	H0016_001_0	1																																																																			
H0016	003	0	1	20	08	H0016_003_0	1																																																																			
H0022	001	0	1	48	05	H0022_001_0	13	2								2							2				2							1	1	1	2	2	30	3		1			010010												2				2				2			2		2			2	2
H0028	007	0	1	01	01	H0028_007_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	48	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H0028	014	0	1	01	01	H0028_014_0	8	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H0028	015	0	1	02	01	H0028_015_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	72	3		1			100010	Svcs arranged by the plan's transport provider to approved locations via car, van, or wheelchair access veh that provide members access to health benefits. Benefit not to exceed 25 miles per trip.											2				2				2			2		1	0.00	0.00	1	2
H0028	016	0	1	02	01	H0028_016_0	8	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H0028	017	0	1	01	01	H0028_017_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H0028	019	0	1	01	01	H0028_019_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H0028	021	0	1	01	01	H0028_021_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H0028	023	0	1	01	01	H0028_023_0	7	2								1	10			20	20	2	2				1	01	265.00	265.00			2	1	2																																							
H0028	024	0	1	01	01	H0028_024_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H0028	025	1	1	01	01	H0028_025_1	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H0028	025	2	1	01	01	H0028_025_2	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H0028	027	0	1	01	01	H0028_027_0	7	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H0028	028	0	1	01	01	H0028_028_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H0028	029	0	1	01	01	H0028_029_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	60	3		1			101010	Services arranged by the plan's transportation provider to approved locations by means of RideShare services, car, van, or wheelchair access vehicle that provide members access to health benefits.											2				2				2			2		1	0.00	0.00	1	2
H0028	030	0	1	01	01	H0028_030_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	1				1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H0028	031	0	1	01	01	H0028_031_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H0028	032	0	1	01	01	H0028_032_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H0028	033	0	1	01	01	H0028_033_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H0028	034	0	1	01	01	H0028_034_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	72	3		1			100010	Services arranged by the plan's transportation provider to approved locations by means of car, van, or wheelchair access vehicle that provide members access to health benefits.											2				2				2			2		1	0.00	0.00	1	2
H0028	035	0	1	01	01	H0028_035_0	7	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	2	26	3		1			100010	Services arranged by the plan's transportation provider to approved locations by means of car, van, or wheelchair access vehicle that provide members access to health benefits.											2				2				2			2		1	0.00	0.00	1	2
H0028	036	0	1	01	01	H0028_036_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H0028	037	0	1	01	01	H0028_037_0	7	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	2	26	3		1			100010	Services arranged by the plan's transportation provider to approved locations by means of car, van, or wheelchair access vehicle that provide members access to health benefits.											2				2				2			2		1	0.00	0.00	1	2
H0028	039	0	1	01	01	H0028_039_0	7	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	2	60	3		1			100010	Services arranged by the plan's transportation provider to approved locations by means of car, van, or wheelchair access vehicle that provide members access to health benefits.											2				2				2			2		1	0.00	0.00	1	2
H0028	041	0	1	01	01	H0028_041_0	7	2								1	10			20	20	2	2				1	01	270.00	270.00			2	1	1	1	2	1				1			100010	Services arranged by the plan's transportation provider to approved locations by means of car, van, or wheelchair access vehicle that provide members access to health benefits.											2				2				2			2		1	0.00	0.00	1	2
H0028	042	0	1	01	01	H0028_042_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	2	60	3		1			101010	car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H0028	043	1	1	01	01	H0028_043_1	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	2	60	3		1			101010	car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H0028	043	2	1	01	01	H0028_043_2	8	2								1	10			20	20	2	2				1	01	270.00	270.00			2	1	2																																							
H0028	044	0	1	01	01	H0028_044_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H0028	045	0	1	01	01	H0028_045_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	72	3		1			100010	Services arranged by the plan's transportation provider to approved locations by means of car, van, or wheelchair access vehicle that provide members access to health benefits.											2				2				2			2		1	0.00	0.00	1	2
H0028	046	0	1	01	01	H0028_046_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	2	60	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H0028	047	0	1	01	01	H0028_047_0	7	2								1	10			20	20	2	2				1	01	265.00	265.00			2	1	2																																							
H0028	048	1	1	01	01	H0028_048_1	5	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H0028	048	2	1	01	01	H0028_048_2	5	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H0028	050	0	1	01	01	H0028_050_0	10	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H0028	051	0	1	01	01	H0028_051_0	8	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H0028	052	0	1	01	01	H0028_052_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H0028	053	1	1	01	01	H0028_053_1	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H0028	053	3	1	01	01	H0028_053_3	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H0028	053	4	1	01	01	H0028_053_4	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H0028	054	1	1	02	01	H0028_054_1	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H0028	054	2	1	02	01	H0028_054_2	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H0028	055	0	1	02	01	H0028_055_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H0028	056	0	1	02	01	H0028_056_0	8	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H0028	057	0	1	01	01	H0028_057_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H0028	058	0	1	01	01	H0028_058_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H0028	059	0	1	01	01	H0028_059_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	1				1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H0028	060	0	1	01	01	H0028_060_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H0028	062	0	1	01	01	H0028_062_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H0028	063	0	1	01	01	H0028_063_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H0028	064	0	1	01	01	H0028_064_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			101010	car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H0028	801	0	1	01	01	H0028_801_0	10	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0028	802	0	1	01	01	H0028_802_0	6	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0028	804	0	1	01	01	H0028_804_0	7	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0028	805	0	1	01	01	H0028_805_0	7	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0029	801	0	1	01	01	H0029_801_0	12	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0034	001	0	1	01	01	H0034_001_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0034	002	0	1	01	01	H0034_002_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0062	801	0	1	01	01	H0062_801_0	12	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0074	001	0	1	04	01	H0074_001_0	21	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H0074	004	0	1	04	01	H0074_004_0	19	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			011010												2				2				2			2		1	0.00	0.00	1	2
H0088	002	0	1	04	01	H0088_002_0	19	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H0088	003	0	1	04	01	H0088_003_0	21	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H0104	012	0	1	04	01	H0104_012_0	5	2								2							2				1	11	315.00	315.00	315.00	315.00	2	2	2																																							
H0104	014	0	1	04	01	H0104_014_0	4	2								2							2				1	11	315.00	315.00	315.00	315.00	2	2	2																																							
H0104	015	0	1	04	01	H0104_015_0	3	2								2							2				1	11	150.00	150.00	150.00	150.00	2	2	2																																							
H0104	801	0	1	04	01	H0104_801_0	1	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0104	802	0	1	04	01	H0104_802_0	1	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0104	804	0	1	04	01	H0104_804_0	1	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0104	805	0	1	04	01	H0104_805_0	1	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0104	806	0	1	04	01	H0104_806_0	1	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0104	807	0	1	04	01	H0104_807_0	1	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0104	808	0	1	04	01	H0104_808_0	1	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0104	809	0	1	04	01	H0104_809_0	1	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0105	001	0	1	20	08	H0105_001_0	1																																																																			
H0105	002	0	1	20	08	H0105_002_0	1																																																																			
H0107	003	0	1	04	01	H0107_003_0	7	2								1	10			20	20	2	2				1	01	290.00	290.00			2	1	2																																							
H0107	004	0	1	04	01	H0107_004_0	6	2								1	10			20	20	2	2				1	01	290.00	290.00			2	1	2																																							
H0107	005	0	1	04	01	H0107_005_0	6	2								1	10			20	20	2	2				1	01	290.00	290.00			2	1	2																																							
H0107	006	0	1	04	01	H0107_006_0	6	2								1	11	0	0	0	0	2	2				2							1	2																																							
H0107	007	0	1	04	01	H0107_007_0	6	2								1	10			20	20	2	2				1	01	350.00	350.00			2	1	2																																							
H0107	010	0	1	04	01	H0107_010_0	6	2								1	10			20	20	2	2				1	01	350.00	350.00			2	1	2																																							
H0107	011	0	1	04	01	H0107_011_0	5	2								1	10			20	20	2	2				1	01	350.00	350.00			2	1	2																																							
H0107	801	0	1	04	01	H0107_801_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0107	802	0	1	04	01	H0107_802_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0107	803	0	1	04	01	H0107_803_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0107	804	0	1	04	01	H0107_804_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0107	805	0	1	04	01	H0107_805_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0107	806	0	1	04	01	H0107_806_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0107	807	0	1	04	01	H0107_807_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0107	808	0	1	04	01	H0107_808_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0107	809	0	1	04	01	H0107_809_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0107	810	0	1	04	01	H0107_810_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0107	811	0	1	04	01	H0107_811_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0107	812	0	1	04	01	H0107_812_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0107	813	0	1	04	01	H0107_813_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0107	814	0	1	04	01	H0107_814_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0107	815	0	1	04	01	H0107_815_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0107	816	0	1	04	01	H0107_816_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0107	817	0	1	04	01	H0107_817_0	1	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0107	818	0	1	04	01	H0107_818_0	1	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0107	819	0	1	04	01	H0107_819_0	1	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0107	820	0	1	04	01	H0107_820_0	1	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0111	001	0	1	04	01	H0111_001_0	20	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0111	004	0	1	04	01	H0111_004_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H0112	001	0	1	20	08	H0112_001_0	1																																																																			
H0112	002	0	1	20	08	H0112_002_0	1																																																																			
H0137	001	0	1	48	05	H0137_001_0	8	2								2							2				2							1	1	1	2	1				5	Transportation includes both one-way and round trip options.		011011												2				2				2			2		2			1	2
H0154	008	0	1	01	01	H0154_008_0	3	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H0154	011	0	1	01	01	H0154_011_0	4	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H0154	012	0	1	01	01	H0154_012_0	4	2								2							2				1	11	245.00	245.00	245.00	245.00	2	1	1	1	2	2	24	3		1			111010	Plan's vendor may use a variety of modes as needed including multi-passenger sprinters.  Subject to mileage limit per trip.											2				2				2			2		2			2	2
H0154	015	1	1	01	01	H0154_015_1	4	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H0154	015	2	1	01	01	H0154_015_2	4	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H0154	016	0	1	01	01	H0154_016_0	4	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H0154	017	0	1	01	01	H0154_017_0	4	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	10	3		1			111010	Plan's vendor may use a variety of modes as needed including multi-passenger sprinters.  Subject to mileage limit per trip.											2				2				2			2		2			2	2
H0154	019	0	1	01	01	H0154_019_0	4	2								2							2				1	11	245.00	245.00	245.00	245.00	2	1	1	1	2	2	24	3		1			111010	Plan's vendor may use a variety of modes as needed including multi-passenger sprinters.  Subject to mileage limit per trip.											2				2				2			2		2			2	2
H0154	020	0	1	01	01	H0154_020_0	4	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H0154	801	0	1	01	01	H0154_801_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0154	802	0	1	01	01	H0154_802_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0154	803	0	1	01	01	H0154_803_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0169	001	0	1	02	01	H0169_001_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0169	002	0	1	02	01	H0169_002_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0169	003	0	1	02	01	H0169_003_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0169	004	0	1	02	01	H0169_004_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0169	006	0	1	02	01	H0169_006_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0169	008	0	1	02	01	H0169_008_0	4	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0174	002	0	1	01	01	H0174_002_0	19	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H0174	004	0	1	01	01	H0174_004_0	19	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			011010												2				2				2			2		1	0.00	0.00	1	2
H0174	006	0	1	01	01	H0174_006_0	19	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			011010												2				2				2			2		1	0.00	0.00	1	2
H0174	009	0	1	01	01	H0174_009_0	19	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	36	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H0174	010	0	1	01	01	H0174_010_0	20	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H0174	014	0	1	01	01	H0174_014_0	18	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H0174	015	0	1	01	01	H0174_015_0	19	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H0174	016	0	1	01	01	H0174_016_0	19	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H0174	017	0	1	01	01	H0174_017_0	19	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H0174	018	0	1	01	01	H0174_018_0	19	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H0174	019	0	1	01	01	H0174_019_0	19	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	2																																							
H0174	020	0	1	01	01	H0174_020_0	19	2								2							2				1	11	235.00	235.00	235.00	235.00	2	1	2																																							
H0174	021	0	1	01	01	H0174_021_0	19	2								2							2				1	11	210.00	210.00	210.00	210.00	2	1	2																																							
H0174	022	0	1	01	01	H0174_022_0	20	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	1				1			011010												2				2				2			2		1	0.00	0.00	1	2
H0192	001	0	1	48	05	H0192_001_0	7	2								2							2				2							2	1	2											2	1				2			010111		2				2				2			2		2			1	2
H0216	001	0	1	20	08	H0216_001_0	1																																																																			
H0216	002	0	1	20	08	H0216_002_0	1																																																																			
H0235	001	0	1	20	08	H0235_001_0	2																																																																			
H0235	002	0	1	20	08	H0235_002_0	2																																																																			
H0247	001	0	1	20	08	H0247_001_0	1																																																																			
H0247	002	0	1	20	08	H0247_002_0	1																																																																			
H0251	002	0	1	02	01	H0251_002_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	100	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0251	004	0	1	02	01	H0251_004_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	120	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0270	001	0	1	04	01	H0270_001_0	19	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H0270	002	0	1	04	01	H0270_002_0	19	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H0271	005	0	1	04	01	H0271_005_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0271	006	0	1	04	01	H0271_006_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0271	007	0	1	04	01	H0271_007_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0271	012	0	1	04	01	H0271_012_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0271	013	0	1	04	01	H0271_013_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0271	014	0	1	04	01	H0271_014_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0271	016	0	1	04	01	H0271_016_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0271	017	0	1	04	01	H0271_017_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0271	020	0	1	04	01	H0271_020_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0271	023	0	1	04	01	H0271_023_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0271	024	0	1	04	01	H0271_024_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0271	025	0	1	04	01	H0271_025_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0271	026	0	1	04	01	H0271_026_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0271	027	0	1	04	01	H0271_027_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0271	028	0	1	04	01	H0271_028_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0271	029	0	1	04	01	H0271_029_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0271	030	0	1	04	01	H0271_030_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0271	033	0	1	04	01	H0271_033_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0271	034	0	1	04	01	H0271_034_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0271	035	0	1	04	01	H0271_035_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0271	036	0	1	04	01	H0271_036_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0271	037	0	1	04	01	H0271_037_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0271	038	0	1	04	01	H0271_038_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0271	039	0	1	04	01	H0271_039_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0271	042	0	1	04	01	H0271_042_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0271	043	0	1	04	01	H0271_043_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0271	044	0	1	04	01	H0271_044_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0271	045	0	1	04	01	H0271_045_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0271	046	0	1	04	01	H0271_046_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0271	050	0	1	04	01	H0271_050_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0271	052	0	1	04	01	H0271_052_0	6	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0271	053	0	1	04	01	H0271_053_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0271	054	0	1	04	01	H0271_054_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0271	055	0	1	04	01	H0271_055_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0271	056	0	1	04	01	H0271_056_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0271	057	0	1	04	01	H0271_057_0	6	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0271	058	0	1	04	01	H0271_058_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0271	059	0	1	04	01	H0271_059_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0271	060	1	1	04	01	H0271_060_1	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0271	060	2	1	04	01	H0271_060_2	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	12	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0271	063	0	1	04	01	H0271_063_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0271	065	0	1	04	01	H0271_065_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0292	001	0	1	01	01	H0292_001_0	8	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	60	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H0292	002	0	1	01	01	H0292_002_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H0292	003	0	1	01	01	H0292_003_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H0294	002	0	1	04	01	H0294_002_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0294	004	0	1	04	01	H0294_004_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0294	010	0	1	04	01	H0294_010_0	10	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0294	011	0	1	04	01	H0294_011_0	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0294	012	0	1	04	01	H0294_012_0	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0294	014	0	1	04	01	H0294_014_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0294	015	0	1	04	01	H0294_015_0	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0294	016	0	1	04	01	H0294_016_0	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0294	017	0	1	04	01	H0294_017_0	6	2								2							2				1	11	180.00	180.00	180.00	180.00	2	1	2																																							
H0294	018	0	1	04	01	H0294_018_0	6	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H0294	019	0	1	04	01	H0294_019_0	6	2								2							2				1	11	215.00	215.00	215.00	215.00	2	1	2																																							
H0294	020	0	1	04	01	H0294_020_0	6	2								2							2				1	11	205.00	205.00	205.00	205.00	2	1	2																																							
H0294	021	0	1	04	01	H0294_021_0	6	2								2							2				1	11	210.00	210.00	210.00	210.00	2	1	2																																							
H0294	022	0	1	04	01	H0294_022_0	6	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	2																																							
H0294	023	0	1	04	01	H0294_023_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0294	024	0	1	04	01	H0294_024_0	6	2								2							2				1	11	190.00	190.00	190.00	190.00	2	1	2																																							
H0294	025	0	1	04	01	H0294_025_0	6	2								2							2				1	11	195.00	195.00	195.00	195.00	2	1	2																																							
H0294	026	0	1	04	01	H0294_026_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H0294	027	0	1	04	01	H0294_027_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0294	028	0	1	04	01	H0294_028_0	6	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	2																																							
H0294	029	0	1	04	01	H0294_029_0	6	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	2																																							
H0294	030	0	1	04	01	H0294_030_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0294	031	0	1	04	01	H0294_031_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0294	032	0	1	04	01	H0294_032_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0294	033	0	1	04	01	H0294_033_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0294	034	0	1	04	01	H0294_034_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0294	035	0	1	04	01	H0294_035_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0294	036	0	1	04	01	H0294_036_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0294	037	0	1	04	01	H0294_037_0	7	2								2							2				1	11	195.00	195.00	195.00	195.00	2	1	2																																							
H0294	038	0	1	04	01	H0294_038_0	7	2								2							2				1	11	215.00	215.00	215.00	215.00	2	1	2																																							
H0294	039	0	1	04	01	H0294_039_0	7	2								2							2				1	11	255.00	255.00	255.00	255.00	2	1	2																																							
H0294	040	0	1	04	01	H0294_040_0	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0294	041	0	1	04	01	H0294_041_0	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0294	042	0	1	04	01	H0294_042_0	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0294	043	0	1	04	01	H0294_043_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0294	044	0	1	04	01	H0294_044_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0294	046	0	1	04	01	H0294_046_0	6	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	2																																							
H0294	047	0	1	04	01	H0294_047_0	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0302	001	0	1	01	01	H0302_001_0	7	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	2																																							
H0302	006	0	1	01	01	H0302_006_0	8	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	2																																							
H0302	008	0	1	01	01	H0302_008_0	8	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	2																																							
H0302	801	0	1	01	01	H0302_801_0	1	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0321	002	0	1	02	01	H0321_002_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			010010												2				2				2			2		1	0.00	0.00	2	2
H0321	004	0	1	02	01	H0321_004_0	9	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	200	3		1			010010												2				2				2			2		1	0.00	0.00	2	2
H0332	001	0	1	01	01	H0332_001_0	8	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	20	3		1			100000	Other covered transportation modes include car, SUV, minivan and wheelchair-accessible van											2				2				2			2		2			2	2
H0332	002	0	1	01	01	H0332_002_0	12	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	20	3		1			100000	Other covered transportation modes include car, SUV, minivan and wheelchair accessible van.											2				2				2			2		2			2	2
H0332	004	0	1	02	01	H0332_004_0	11	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	1				1			100000	Other covered transportation modes include car, SUV, minivan and wheelchair accessible van.											2				2				2			2		2			2	2
H0332	009	0	1	01	01	H0332_009_0	9	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	1				1			100000	Other covered transportation modes include car, SUV, minivan and wheelchair accessible van.											2				2				2			2		2			2	2
H0332	010	0	1	01	01	H0332_010_0	8	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	1				1			100000	Other covered transportation modes include car, SUV, minivan and wheelchair accessible van.											2				2				2			2		2			2	2
H0332	011	0	1	02	01	H0332_011_0	10	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	2																																							
H0332	801	0	1	01	01	H0332_801_0	2	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0332	803	0	1	01	01	H0332_803_0	2	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0332	804	0	1	01	01	H0332_804_0	2	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0332	805	0	1	01	01	H0332_805_0	2	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0332	806	0	1	01	01	H0332_806_0	2	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0332	807	0	1	01	01	H0332_807_0	2	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0332	808	0	1	01	01	H0332_808_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0332	809	0	1	01	01	H0332_809_0	2	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0332	810	0	1	01	01	H0332_810_0	2	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0332	811	0	1	01	01	H0332_811_0	2	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0332	812	0	1	01	01	H0332_812_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0332	813	0	1	01	01	H0332_813_0	2	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0332	814	0	1	01	01	H0332_814_0	2	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0336	001	0	1	48	05	H0336_001_0	2	2								2							2				2							2	1	1	2	1				2			010111												2				2				2			2		2			2	2
H0342	001	0	1	04	01	H0342_001_0	6	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H0342	801	0	1	04	01	H0342_801_0	1	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H0342	802	0	1	04	01	H0342_802_0	1	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H0342	803	0	1	04	01	H0342_803_0	2	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H0342	804	0	1	04	01	H0342_804_0	2	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H0351	038	0	1	01	01	H0351_038_0	17	2								2							2				1	11	285.00	285.00	285.00	285.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H0351	053	0	1	01	01	H0351_053_0	18	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H0351	054	0	1	01	01	H0351_054_0	17	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H0351	057	0	1	01	01	H0351_057_0	17	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H0351	061	0	1	01	01	H0351_061_0	17	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H0351	062	0	1	01	01	H0351_062_0	16	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H0351	063	0	1	01	01	H0351_063_0	18	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H0351	064	0	1	01	01	H0351_064_0	18	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	2																																							
H0354	001	0	1	01	01	H0354_001_0	9	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			1	2
H0354	027	0	1	01	01	H0354_027_0	9	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	2	50	3		1			011011												2				2				2			2		2			1	2
H0354	028	0	1	01	01	H0354_028_0	9	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	2	50	3		1			011011												2				2				2			2		2			1	2
H0354	029	0	1	01	01	H0354_029_0	8	2								1	10			20	20	2	2				1	01	235.00	235.00			2	1	1	1	2	2	20	3		1			011011												2				2				2			2		2			1	2
H0354	804	0	1	01	01	H0354_804_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0354	805	0	1	01	01	H0354_805_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0363	001	0	1	01	01	H0363_001_0	9	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			010111												2				2				2			2		2			2	2
H0390	001	0	1	20	08	H0390_001_0	1																																																																			
H0390	002	0	1	20	08	H0390_002_0	1																																																																			
H0422	001	0	1	02	01	H0422_001_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	2	2																																							
H0422	003	0	1	02	01	H0422_003_0	9	2								2							2				1	11	300.00	300.00	300.00	300.00	2	2	2																																							
H0423	001	0	1	01	01	H0423_001_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			001000												2				2				2			2		2			2	2
H0423	004	0	1	01	01	H0423_004_0	6	2								2							2				1	11	100.00	100.00	100.00	100.00	1	1	2																																							
H0423	007	0	1	01	01	H0423_007_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			001000												2				2				2			2		2			2	2
H0424	001	0	1	20	08	H0424_001_0	1																																																																			
H0424	002	0	1	20	08	H0424_002_0	1																																																																			
H0432	003	0	1	02	01	H0432_003_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0432	004	0	1	02	01	H0432_004_0	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0432	009	0	1	02	01	H0432_009_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0432	012	0	1	02	01	H0432_012_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0432	013	0	1	02	01	H0432_013_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0432	017	0	1	02	01	H0432_017_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0439	002	0	1	01	01	H0439_002_0	8	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	1	1	2	2	30	3		1			011011												2				2				2			2		2			1	2
H0439	003	1	1	01	01	H0439_003_1	7	2								1	10			20	20	2	2				1	01	260.00	260.00			2	1	2																																							
H0439	003	2	1	01	01	H0439_003_2	7	2								1	10			20	20	2	2				1	01	235.00	235.00			2	1	2																																							
H0439	006	0	1	01	01	H0439_006_0	7	2								1	10			20	20	2	2				1	01	260.00	260.00			2	1	1	1	2	2	20	3		1			011011												2				2				2			2		2			1	2
H0439	007	0	1	01	01	H0439_007_0	7	2								1	10			20	20	2	2				1	01	270.00	270.00			2	1	1	1	2	2	20	3		1			011011												2				2				2			2		2			1	2
H0439	008	0	1	01	01	H0439_008_0	7	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H0439	009	0	1	01	01	H0439_009_0	7	2								1	10			20	20	2	2				1	01	190.00	190.00			2	1	1	1	2	2	20	3		1			011011												2				2				2			2		2			1	2
H0439	010	0	1	01	01	H0439_010_0	7	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	1	1	2	2	10	3		1			011011												2				2				2			2		2			1	2
H0439	011	0	1	01	01	H0439_011_0	7	2								1	10			20	20	2	2				1	01	260.00	260.00			2	1	1	1	2	2	10	3		1			011011												2				2				2			2		2			1	2
H0439	012	0	1	01	01	H0439_012_0	9	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	30	3		1			011011												2				2				2			2		2			1	2
H0439	013	0	1	01	01	H0439_013_0	7	2								1	10			20	20	2	2				1	01	290.00	290.00			2	1	1	1	2	2	20	3		1			011011												2				2				2			2		2			1	2
H0439	801	0	1	01	01	H0439_801_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0440	001	0	1	20	08	H0440_001_0	1																																																																			
H0440	002	0	1	20	08	H0440_002_0	1																																																																			
H0473	001	0	1	04	01	H0473_001_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H0473	003	0	1	04	01	H0473_003_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H0473	004	0	1	04	01	H0473_004_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H0473	005	0	1	04	01	H0473_005_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H0473	006	0	1	04	01	H0473_006_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H0477	001	0	1	20	08	H0477_001_0	1																																																																			
H0477	002	0	1	20	08	H0477_002_0	1																																																																			
H0480	001	0	1	48	05	H0480_001_0	15	2								2							2				2							1	1	2											2	1				2			010111		2				2				2			2		2			1	2
H0482	002	0	1	01	01	H0482_002_0	18	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	60	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H0482	003	0	1	01	01	H0482_003_0	19	2								2							2				1	11	330.00	330.00	330.00	330.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H0482	005	0	1	01	01	H0482_005_0	19	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			011010												2				2				2			2		1	0.00	0.00	1	2
H0504	015	0	1	01	01	H0504_015_0	5	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	2																																							
H0504	017	0	1	01	01	H0504_017_0	5	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	2																																							
H0504	021	0	1	01	01	H0504_021_0	5	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	2	16	3		1			011011												2				2				2			2		2			2	2
H0504	026	0	1	01	01	H0504_026_0	6	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	2																																							
H0504	028	0	1	01	01	H0504_028_0	5	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	18	3		1			011011												2				2				2			2		2			2	2
H0504	038	0	1	01	01	H0504_038_0	5	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	2																																							
H0504	039	0	1	01	01	H0504_039_0	5	2								1	10			20	20	2	2				1	01	270.00	270.00			2	1	2																																							
H0504	040	0	1	01	01	H0504_040_0	5	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	2	16	3		1			011011												2				2				2			2		2			2	2
H0504	041	0	1	01	01	H0504_041_0	7	2								1	10			20	20	2	2				1	01	260.00	260.00			2	1	1	1	2	2	12	3		1			011011												2				2				2			2		2			2	2
H0504	043	0	1	01	01	H0504_043_0	6	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	2	32	3		1			011011												2				2				2			2		2			2	2
H0504	047	0	1	01	01	H0504_047_0	6	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	2																																							
H0504	049	0	1	01	01	H0504_049_0	6	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	2	16	3		1			011011												2				2				2			2		2			2	2
H0504	803	0	1	01	01	H0504_803_0	5	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0504	804	0	1	01	01	H0504_804_0	5	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0504	805	0	1	01	01	H0504_805_0	5	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0504	806	0	1	01	01	H0504_806_0	5	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0523	022	0	1	01	01	H0523_022_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H0523	052	0	1	01	01	H0523_052_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H0523	065	0	1	01	01	H0523_065_0	6	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H0523	067	0	1	01	01	H0523_067_0	6	2								2							2				1	11	125.00	125.00	125.00	125.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H0523	068	0	1	01	01	H0523_068_0	6	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H0523	069	0	1	01	01	H0523_069_0	6	2								2							2				1	11	175.00	175.00	175.00	175.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H0523	070	0	1	01	01	H0523_070_0	6	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H0523	071	0	1	01	01	H0523_071_0	6	2								2							2				1	11	125.00	125.00	125.00	125.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H0523	072	0	1	01	01	H0523_072_0	6	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H0523	073	0	1	01	01	H0523_073_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H0523	074	0	1	02	01	H0523_074_0	8	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H0523	075	0	1	01	01	H0523_075_0	8	2								2							2				1	11	245.00	245.00	245.00	245.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H0523	076	0	1	02	01	H0523_076_0	7	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H0523	077	0	1	02	01	H0523_077_0	7	2								2							2				1	11	175.00	175.00	175.00	175.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H0523	078	0	1	02	01	H0523_078_0	8	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H0523	079	0	1	02	01	H0523_079_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H0523	080	0	1	02	01	H0523_080_0	7	2								2							2				1	11	245.00	245.00	245.00	245.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H0523	801	0	1	01	01	H0523_801_0	10	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0523	805	0	1	01	01	H0523_805_0	10	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0524	003	0	1	01	01	H0524_003_0	14	2								2							2				1	11	100.00	100.00	100.00	100.00	2	2	2																																							
H0524	008	0	1	01	01	H0524_008_0	11	2								2							2				1	11	200.00	200.00	200.00	200.00	2	2	2																																							
H0524	013	0	1	01	01	H0524_013_0	11	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	2																																							
H0524	015	0	1	01	01	H0524_015_0	13	2								2							2				1	11	200.00	200.00	200.00	200.00	2	2	2																																							
H0524	031	0	1	01	01	H0524_031_0	11	2								2							2				1	11	200.00	200.00	200.00	200.00	2	2	2																																							
H0524	032	0	1	01	01	H0524_032_0	11	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	2																																							
H0524	033	0	1	01	01	H0524_033_0	11	2								2							2				1	11	200.00	200.00	200.00	200.00	2	2	2																																							
H0524	034	0	1	01	01	H0524_034_0	10	2								2							2				1	11	200.00	200.00	200.00	200.00	2	2	2																																							
H0524	035	0	1	01	01	H0524_035_0	10	2								2							2				1	11	200.00	200.00	200.00	200.00	2	2	2																																							
H0524	036	0	1	01	01	H0524_036_0	11	2								2							2				1	11	200.00	200.00	200.00	200.00	2	2	2																																							
H0524	037	0	1	01	01	H0524_037_0	11	2								2							2				1	11	200.00	200.00	200.00	200.00	2	2	2																																							
H0524	038	0	1	01	01	H0524_038_0	11	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	2																																							
H0524	039	0	1	01	01	H0524_039_0	11	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	2																																							
H0524	040	0	1	01	01	H0524_040_0	11	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	2																																							
H0524	041	0	1	01	01	H0524_041_0	11	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	2																																							
H0524	042	0	1	01	01	H0524_042_0	11	2								2							2				1	11	200.00	200.00	200.00	200.00	2	2	2																																							
H0524	043	0	1	01	01	H0524_043_0	11	2								2							2				1	11	200.00	200.00	200.00	200.00	2	2	2																																							
H0524	046	0	1	01	01	H0524_046_0	11	2								2							2				1	11	300.00	300.00	300.00	300.00	2	2	2																																							
H0524	051	0	1	01	01	H0524_051_0	11	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	2																																							
H0524	054	0	1	01	01	H0524_054_0	11	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	2																																							
H0524	059	0	1	01	01	H0524_059_0	11	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	2																																							
H0524	060	0	1	01	01	H0524_060_0	11	2								2							2				1	11	300.00	300.00	300.00	300.00	2	2	2																																							
H0524	061	0	1	01	01	H0524_061_0	11	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	2																																							
H0524	062	0	1	01	01	H0524_062_0	11	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	2																																							
H0524	063	0	1	01	01	H0524_063_0	11	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	2																																							
H0524	064	0	1	01	01	H0524_064_0	11	2								2							2				1	11	300.00	300.00	300.00	300.00	2	2	2																																							
H0524	065	0	1	01	01	H0524_065_0	11	2								2							2				1	11	300.00	300.00	300.00	300.00	2	2	2																																							
H0524	078	0	1	01	01	H0524_078_0	10	2								2							2				1	11	200.00	200.00	200.00	200.00	2	2	2																																							
H0524	081	0	1	01	01	H0524_081_0	10	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	2																																							
H0524	082	0	1	01	01	H0524_082_0	10	2								2							2				1	11	200.00	200.00	200.00	200.00	2	2	2																																							
H0524	083	0	1	01	01	H0524_083_0	10	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	2																																							
H0524	801	0	1	01	01	H0524_801_0	2	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0524	802	0	1	01	01	H0524_802_0	2	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0524	803	0	2	01	01	H0524_803_0	2	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0524	804	0	2	01	01	H0524_804_0	1	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0524	805	0	1	01	01	H0524_805_0	2	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0524	806	0	1	01	01	H0524_806_0	2	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0524	807	0	2	01	01	H0524_807_0	2	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0524	808	0	2	01	01	H0524_808_0	1	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0524	809	0	1	01	01	H0524_809_0	2	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0524	810	0	1	01	01	H0524_810_0	2	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0524	811	0	2	01	01	H0524_811_0	2	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0524	812	0	2	01	01	H0524_812_0	2	2								1	11	20	20	20	20	2	2				2							2	2																																							
H0542	001	0	1	20	08	H0542_001_0	3																																																																			
H0542	002	0	1	20	08	H0542_002_0	3																																																																			
H0543	013	0	1	02	01	H0543_013_0	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0543	019	0	1	02	01	H0543_019_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0543	022	0	1	02	01	H0543_022_0	6	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	2																																							
H0543	028	0	1	02	01	H0543_028_0	8	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0543	035	0	1	02	01	H0543_035_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0543	036	0	1	02	01	H0543_036_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0543	060	0	1	02	01	H0543_060_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0543	086	0	1	02	01	H0543_086_0	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0543	089	0	1	02	01	H0543_089_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0543	121	0	1	02	01	H0543_121_0	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0543	140	0	1	02	01	H0543_140_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0543	145	0	1	02	01	H0543_145_0	6	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H0543	146	0	1	02	01	H0543_146_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H0543	147	0	1	02	01	H0543_147_0	7	2								2							2				1	11	75.00	75.00	75.00	75.00	2	1	2																																							
H0543	151	0	1	02	01	H0543_151_0	7	2								2							2				1	11	60.00	60.00	60.00	60.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0543	152	0	1	02	01	H0543_152_0	6	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	2	2	12	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0543	164	0	1	02	01	H0543_164_0	6	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0543	165	0	1	02	01	H0543_165_0	6	2								2							2				1	11	85.00	85.00	85.00	85.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0543	166	0	1	02	01	H0543_166_0	6	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0543	167	0	1	02	01	H0543_167_0	6	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	2																																							
H0543	168	0	1	02	01	H0543_168_0	7	2								2							2				1	11	90.00	90.00	90.00	90.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0543	169	0	1	02	01	H0543_169_0	7	2								2							2				1	11	80.00	80.00	80.00	80.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0543	170	0	1	02	01	H0543_170_0	7	2								2							2				1	11	75.00	75.00	75.00	75.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0543	176	0	1	02	01	H0543_176_0	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0543	183	0	1	01	01	H0543_183_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0543	188	0	1	02	01	H0543_188_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0543	189	0	1	02	01	H0543_189_0	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0543	191	0	1	02	01	H0543_191_0	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0543	193	0	1	02	01	H0543_193_0	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0543	195	0	1	02	01	H0543_195_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0543	196	0	1	02	01	H0543_196_0	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0543	204	0	1	02	01	H0543_204_0	6	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0543	209	0	1	02	01	H0543_209_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0543	210	0	1	02	01	H0543_210_0	8	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0543	214	0	1	02	01	H0543_214_0	6	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0543	215	0	1	02	01	H0543_215_0	7	2								2							2				1	11	80.00	80.00	80.00	80.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0543	216	0	1	02	01	H0543_216_0	7	2								2							2				1	11	55.00	55.00	55.00	55.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0543	217	0	1	02	01	H0543_217_0	7	2								2							2				1	11	50.00	50.00	50.00	50.00	2	1	1	1	2	2	60	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0543	218	0	1	02	01	H0543_218_0	7	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	2	2	60	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0543	219	0	1	02	01	H0543_219_0	7	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	60	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0543	220	0	1	02	01	H0543_220_0	7	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0543	221	0	1	02	01	H0543_221_0	7	2								2							2				1	11	70.00	70.00	70.00	70.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0543	222	0	1	02	01	H0543_222_0	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0543	223	0	1	02	01	H0543_223_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H0543	224	0	1	02	01	H0543_224_0	6	2								2							2				1	11	160.00	160.00	160.00	160.00	2	1	2																																							
H0543	225	0	1	02	01	H0543_225_0	6	2								2							2				1	11	205.00	205.00	205.00	205.00	2	1	1	1	2	2	12	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0543	226	0	1	02	01	H0543_226_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	60	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0543	227	0	1	02	01	H0543_227_0	6	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	2	2	60	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0543	228	0	1	02	01	H0543_228_0	6	2								2							2				1	11	95.00	95.00	95.00	95.00	2	1	2																																							
H0543	229	0	1	02	01	H0543_229_0	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0543	230	0	1	02	01	H0543_230_0	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0543	231	0	1	02	01	H0543_231_0	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0543	232	0	1	02	01	H0543_232_0	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0543	234	0	1	02	01	H0543_234_0	8	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0543	235	0	1	02	01	H0543_235_0	6	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H0543	236	0	1	02	01	H0543_236_0	7	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0543	237	0	1	02	01	H0543_237_0	7	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0543	238	0	1	02	01	H0543_238_0	7	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0543	239	0	1	02	01	H0543_239_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0543	240	0	1	01	01	H0543_240_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0543	241	0	1	01	01	H0543_241_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0543	242	0	1	01	01	H0543_242_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0543	243	0	1	01	01	H0543_243_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0543	246	0	1	01	01	H0543_246_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0543	247	0	1	01	01	H0543_247_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0543	248	0	1	02	01	H0543_248_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	60	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0543	249	0	1	01	01	H0543_249_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0543	802	0	1	01	01	H0543_802_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0543	805	0	1	01	01	H0543_805_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0543	806	0	1	01	01	H0543_806_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0543	809	0	2	01	01	H0543_809_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0544	002	0	1	01	01	H0544_002_0	13	2								1	10			20	20	2	2				1	01	100.00	100.00			2	1	1	1	2	2	22	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H0544	004	0	1	01	01	H0544_004_0	8	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	104	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H0544	005	0	1	01	01	H0544_005_0	9	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	22	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H0544	007	0	1	01	01	H0544_007_0	8	2								1	10			20	20	2	2				1	01	100.00	100.00			2	1	2																																							
H0544	008	0	1	01	01	H0544_008_0	8	2								1	10			20	20	2	2				1	01	195.00	195.00			2	1	1	1	2	1				1			011110												2				2				2			2		1	0.00	0.00	2	2
H0544	010	0	1	01	01	H0544_010_0	7	2								2							2				1	11	195.00	195.00	195.00	195.00	2	1	1	1	2	2	70	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H0544	014	0	1	01	01	H0544_014_0	7	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	82	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H0544	015	0	1	01	01	H0544_015_0	6	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	210	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H0544	019	0	1	01	01	H0544_019_0	7	2								2							2				1	11	195.00	195.00	195.00	195.00	2	1	1	1	2	2	70	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H0544	020	0	1	01	01	H0544_020_0	6	2								2							2				1	11	195.00	195.00	195.00	195.00	2	1	1	1	2	1				1			011110												2				2				2			2		1	0.00	0.00	1	2
H0544	056	0	1	01	01	H0544_056_0	7	2								1	10			20	20	2	2				1	01	295.00	295.00			2	1	2																																							
H0544	058	0	1	01	01	H0544_058_0	7	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	72	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H0544	061	0	1	01	01	H0544_061_0	7	2								1	10			20	20	2	2				1	01	340.00	340.00			2	1	2																																							
H0544	062	0	1	01	01	H0544_062_0	7	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	2	72	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H0544	063	0	1	01	01	H0544_063_0	7	2								1	10			20	20	2	2				1	01	380.00	380.00			2	1	2																																							
H0544	064	0	1	01	01	H0544_064_0	7	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H0544	065	0	1	01	01	H0544_065_0	7	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H0544	066	0	1	01	01	H0544_066_0	7	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	80	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H0544	069	0	1	01	01	H0544_069_0	7	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H0544	091	0	1	01	01	H0544_091_0	7	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	30	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H0544	095	0	1	01	01	H0544_095_0	7	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	20	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H0544	096	0	1	01	01	H0544_096_0	7	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H0544	098	0	1	01	01	H0544_098_0	7	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H0544	108	0	1	01	01	H0544_108_0	7	2								2							2				1	11	175.00	175.00	175.00	175.00	2	1	1	1	2	2	8	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H0544	127	0	1	01	01	H0544_127_0	7	2								1	10			20	20	2	2				1	01	290.00	290.00			2	1	2																																							
H0544	805	0	1	01	01	H0544_805_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0544	806	0	1	01	01	H0544_806_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0544	808	0	2	01	01	H0544_808_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0544	809	0	2	01	01	H0544_809_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0544	810	0	1	01	01	H0544_810_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0544	812	0	2	01	01	H0544_812_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0562	009	0	1	01	01	H0562_009_0	15	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H0562	012	0	1	01	01	H0562_012_0	18	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H0562	039	0	1	01	01	H0562_039_0	16	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H0562	079	0	1	01	01	H0562_079_0	17	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H0562	092	0	1	01	01	H0562_092_0	17	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H0562	097	0	1	01	01	H0562_097_0	18	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H0562	125	0	1	01	01	H0562_125_0	17	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H0562	126	0	1	01	01	H0562_126_0	17	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H0562	128	0	1	01	01	H0562_128_0	18	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H0562	130	1	1	01	01	H0562_130_1	15	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H0562	130	2	1	01	01	H0562_130_2	16	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H0562	801	0	1	01	01	H0562_801_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0562	803	0	1	01	01	H0562_803_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0562	804	0	1	01	01	H0562_804_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0571	001	0	1	01	01	H0571_001_0	7	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	1	1	2	2	12	3		2			010010												2				2				2			2		2			2	2
H0571	005	0	1	01	01	H0571_005_0	6	2								2							2				2							1	1	1	2	2	48	3		1			010010												2				2				2			2		2			1	2
H0571	007	0	1	01	01	H0571_007_0	7	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	1	1	2	2	6	3		2			010010												2				2				2			2		2			2	2
H0609	007	0	1	02	01	H0609_007_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0609	012	0	1	02	01	H0609_012_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0609	018	0	1	02	01	H0609_018_0	4	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H0609	025	0	1	02	01	H0609_025_0	6	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H0609	026	0	1	02	01	H0609_026_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0609	027	0	1	02	01	H0609_027_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0609	028	0	1	02	01	H0609_028_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	12	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0609	031	0	1	02	01	H0609_031_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0609	032	0	1	02	01	H0609_032_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	12	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0609	033	0	1	02	01	H0609_033_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0609	034	1	1	02	01	H0609_034_1	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0609	034	2	1	02	01	H0609_034_2	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0609	036	1	1	02	01	H0609_036_1	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0609	036	2	1	02	01	H0609_036_2	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0609	037	0	1	02	01	H0609_037_0	6	2								2							2				1	11	175.00	175.00	175.00	175.00	2	1	1	1	2	2	54	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0609	038	0	1	02	01	H0609_038_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0609	040	0	1	02	01	H0609_040_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	12	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0609	041	0	1	02	01	H0609_041_0	4	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0609	042	0	1	02	01	H0609_042_0	6	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0609	043	0	1	02	01	H0609_043_0	6	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0609	044	0	1	02	01	H0609_044_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0609	045	0	1	02	01	H0609_045_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0609	046	0	1	02	01	H0609_046_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0609	047	0	1	02	01	H0609_047_0	6	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0609	048	0	1	02	01	H0609_048_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0609	049	0	1	02	01	H0609_049_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0609	050	0	1	02	01	H0609_050_0	6	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0609	051	0	1	02	01	H0609_051_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H0609	052	0	1	02	01	H0609_052_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0609	053	0	1	02	01	H0609_053_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0609	054	0	1	02	01	H0609_054_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0609	055	0	1	02	01	H0609_055_0	4	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H0609	056	0	1	02	01	H0609_056_0	4	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0609	057	0	1	02	01	H0609_057_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0609	058	0	1	02	01	H0609_058_0	6	2								2							2				1	11	175.00	175.00	175.00	175.00	2	1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0609	059	0	1	02	01	H0609_059_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H0609	060	0	1	02	01	H0609_060_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H0609	061	0	1	02	01	H0609_061_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H0609	062	0	1	02	01	H0609_062_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H0609	063	0	1	02	01	H0609_063_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0609	064	0	1	02	01	H0609_064_0	4	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0609	065	0	1	02	01	H0609_065_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0609	066	0	1	02	01	H0609_066_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H0609	067	0	1	02	01	H0609_067_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	12	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0609	068	0	1	02	01	H0609_068_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H0609	070	0	1	02	01	H0609_070_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0609	071	0	1	02	01	H0609_071_0	6	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0609	801	0	1	01	01	H0609_801_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0609	804	0	1	01	01	H0609_804_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0609	805	0	1	01	01	H0609_805_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0609	806	0	2	01	01	H0609_806_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0609	807	0	1	01	01	H0609_807_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0609	808	0	1	01	01	H0609_808_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0609	809	0	1	01	01	H0609_809_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0609	810	0	1	01	01	H0609_810_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0609	811	0	1	01	01	H0609_811_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0609	812	0	1	01	01	H0609_812_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0609	813	0	1	01	01	H0609_813_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0609	814	0	1	01	01	H0609_814_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0609	815	0	1	01	01	H0609_815_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0609	816	0	1	01	01	H0609_816_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0609	817	0	1	01	01	H0609_817_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0609	818	0	1	01	01	H0609_818_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0609	819	0	1	01	01	H0609_819_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0609	820	0	1	01	01	H0609_820_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0609	821	0	1	01	01	H0609_821_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0609	822	0	1	01	01	H0609_822_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0609	823	0	1	01	01	H0609_823_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0609	824	0	1	01	01	H0609_824_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0609	825	0	2	01	01	H0609_825_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0613	001	0	1	20	08	H0613_001_0	1																																																																			
H0613	003	0	1	20	08	H0613_003_0	1																																																																			
H0624	001	0	1	02	01	H0624_001_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0628	001	0	1	02	01	H0628_001_0	8	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H0628	003	0	1	02	01	H0628_003_0	6	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H0628	005	0	1	02	01	H0628_005_0	8	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H0628	006	0	1	02	01	H0628_006_0	7	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H0628	007	0	1	02	01	H0628_007_0	7	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H0628	008	0	1	02	01	H0628_008_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H0628	009	0	1	02	01	H0628_009_0	6	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H0628	010	0	1	02	01	H0628_010_0	6	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H0628	011	0	1	01	01	H0628_011_0	6	2								2							2				1	11	285.00	285.00	285.00	285.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H0628	012	0	1	01	01	H0628_012_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	50	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H0628	013	0	1	01	01	H0628_013_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H0628	014	0	1	01	01	H0628_014_0	3	2								2							2				1	11	240.00	240.00	240.00	240.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H0628	015	0	1	01	01	H0628_015_0	3	2								2							2				1	11	240.00	240.00	240.00	240.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H0628	017	0	1	02	01	H0628_017_0	7	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H0628	018	0	1	01	01	H0628_018_0	8	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			010011												2				2				2			2		1	0.00	0.00	2	2
H0628	801	0	1	01	01	H0628_801_0	9	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0628	802	0	1	01	01	H0628_802_0	7	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0630	013	0	1	01	01	H0630_013_0	11	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	4	2	12	3		1			011011												2				2				2			2		1	0.00	0.00	2	2
H0630	014	0	1	01	01	H0630_014_0	11	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			011011												2				2				2			2		1	0.00	0.00	2	2
H0630	015	0	1	02	01	H0630_015_0	11	2								2							2				1	11	160.00	160.00	160.00	160.00	2	1	1	1	4	2	16	3		1			011011												2				2				2			2		1	0.00	0.00	2	2
H0630	016	0	1	02	01	H0630_016_0	11	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	4	2	30	3		1			011011												2				2				2			2		1	0.00	0.00	2	2
H0630	017	0	1	01	01	H0630_017_0	12	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	4	2	12	3		1			011011												2				2				2			2		1	0.00	0.00	2	2
H0630	020	0	1	01	01	H0630_020_0	11	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	4	2	12	3		1			011011												2				2				2			2		1	0.00	0.00	2	2
H0630	021	0	1	02	01	H0630_021_0	11	2								2							2				1	11	210.00	210.00	210.00	210.00	2	1	1	1	4	2	16	3		1			011011												2				2				2			2		1	0.00	0.00	2	2
H0630	023	0	1	02	01	H0630_023_0	11	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	4	2	16	3		1			011011												2				2				2			2		1	0.00	0.00	2	2
H0630	024	0	1	01	01	H0630_024_0	11	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			011011												2				2				2			2		1	0.00	0.00	2	2
H0630	025	0	1	02	01	H0630_025_0	11	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	4	2	8	3		1			011011												2				2				2			2		1	0.00	0.00	2	2
H0630	026	0	1	02	01	H0630_026_0	10	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	4	2	8	3		1			011011												2				2				2			2		1	0.00	0.00	2	2
H0630	805	0	2	01	01	H0630_805_0	9	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0630	806	0	2	01	01	H0630_806_0	9	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0630	807	0	1	01	01	H0630_807_0	9	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0630	808	0	1	01	01	H0630_808_0	9	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0630	809	0	2	01	01	H0630_809_0	9	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0630	810	0	1	01	01	H0630_810_0	9	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0630	811	0	2	01	01	H0630_811_0	9	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0630	812	0	2	01	01	H0630_812_0	9	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0630	813	0	1	01	01	H0630_813_0	9	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0630	814	0	1	01	01	H0630_814_0	9	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0630	815	0	2	01	01	H0630_815_0	9	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0630	816	0	1	01	01	H0630_816_0	9	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0630	817	0	2	01	01	H0630_817_0	9	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0630	818	0	2	01	01	H0630_818_0	9	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0630	819	0	1	01	01	H0630_819_0	9	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0630	820	0	1	01	01	H0630_820_0	9	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0630	821	0	2	01	01	H0630_821_0	9	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0630	822	0	1	01	01	H0630_822_0	9	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0672	001	0	1	01	01	H0672_001_0	8	2								1	10			20	20	2	2				1	01	205.00	205.00			2	1	1	1	2	2	30	3		1			011011												2				2				2			2		2			1	2
H0672	003	0	1	01	01	H0672_003_0	8	2								1	10			20	20	2	2				1	01	170.00	170.00			2	1	1	1	2	2	30	3		1			011011												2				2				2			2		2			1	2
H0672	004	0	1	01	01	H0672_004_0	9	2								1	10			20	20	2	2				1	01	195.00	195.00			2	1	1	1	2	2	30	3		1			011011												2				2				2			2		2			1	2
H0672	005	0	1	01	01	H0672_005_0	9	2								1	10			20	20	2	2				1	01	190.00	190.00			2	1	1	1	2	2	30	3		1			011011												2				2				2			2		2			1	2
H0672	006	0	1	01	01	H0672_006_0	7	2								1	10			20	20	2	2				1	01	225.00	225.00			2	1	1	1	2	2	20	3		1			011011												2				2				2			2		2			1	2
H0672	007	0	1	01	01	H0672_007_0	9	2								1	10			20	20	2	2				1	01	205.00	205.00			2	1	2																																							
H0672	008	0	1	01	01	H0672_008_0	8	2								1	10			20	20	2	2				1	01	170.00	170.00			2	1	2																																							
H0672	009	0	1	01	01	H0672_009_0	9	2								1	10			20	20	2	2				1	01	205.00	205.00			2	1	1	1	2	2	50	3		1			011011												2				2				2			2		2			1	2
H0672	010	0	1	01	01	H0672_010_0	10	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	50	3		1			011011												2				2				2			2		2			1	2
H0672	011	0	1	01	01	H0672_011_0	7	2								1	10			20	20	2	2				1	01	230.00	230.00			2	1	1	1	2	2	20	3		1			011011												2				2				2			2		2			1	2
H0672	013	0	1	01	01	H0672_013_0	7	2								1	10			20	20	2	2				1	01	245.00	245.00			2	1	1	1	2	2	30	3		1			011011												2				2				2			2		2			1	2
H0672	014	0	1	01	01	H0672_014_0	7	2								1	10			20	20	2	2				1	01	245.00	245.00			2	1	1	1	2	2	20	3		1			011011												2				2				2			2		2			1	2
H0672	015	0	1	01	01	H0672_015_0	8	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	40	3		1			011011												2				2				2			2		2			1	2
H0672	016	0	1	01	01	H0672_016_0	7	2								1	10			20	20	2	2				1	01	220.00	220.00			2	1	2																																							
H0672	017	0	1	01	01	H0672_017_0	7	2								1	10			20	20	2	2				1	01	245.00	245.00			2	1	1	1	2	2	20	3		1			011011												2				2				2			2		2			1	2
H0672	018	0	1	01	01	H0672_018_0	8	2								1	10			20	20	2	2				2							1	1	1	2	2	40	3		1			011011												2				2				2			2		2			1	2
H0672	801	0	1	01	01	H0672_801_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0710	004	0	1	04	01	H0710_004_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	18	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0710	005	0	1	04	01	H0710_005_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0710	007	0	1	04	01	H0710_007_0	6	2								2							2				1	11	75.00	75.00	75.00	75.00	2	1	1	1	2	2	60	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0710	008	0	1	04	01	H0710_008_0	6	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0710	009	0	1	04	01	H0710_009_0	6	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0710	010	0	1	04	01	H0710_010_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0710	012	0	1	04	01	H0710_012_0	6	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0710	013	0	1	04	01	H0710_013_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0710	016	0	1	04	01	H0710_016_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	18	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0710	017	0	1	04	01	H0710_017_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0710	020	0	1	04	01	H0710_020_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0710	026	0	1	04	01	H0710_026_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0710	027	0	1	04	01	H0710_027_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0710	030	0	1	04	01	H0710_030_0	6	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0710	031	0	1	04	01	H0710_031_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0710	032	0	1	04	01	H0710_032_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0710	033	0	1	04	01	H0710_033_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0710	034	0	1	04	01	H0710_034_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0710	035	0	1	04	01	H0710_035_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0710	036	0	1	04	01	H0710_036_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0710	037	0	1	04	01	H0710_037_0	6	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0710	038	0	1	04	01	H0710_038_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0710	039	0	1	04	01	H0710_039_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0710	041	0	1	04	01	H0710_041_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0710	046	0	1	04	01	H0710_046_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0710	047	0	1	04	01	H0710_047_0	6	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0710	050	0	1	04	01	H0710_050_0	6	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0710	051	0	1	04	01	H0710_051_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0710	052	0	1	04	01	H0710_052_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0710	053	0	1	04	01	H0710_053_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0710	054	0	1	04	01	H0710_054_0	6	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0710	055	0	1	04	01	H0710_055_0	6	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0710	056	0	1	04	01	H0710_056_0	6	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0710	057	0	1	04	01	H0710_057_0	6	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0710	058	0	1	04	01	H0710_058_0	6	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0710	059	0	1	04	01	H0710_059_0	6	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0710	060	0	1	04	01	H0710_060_0	6	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0710	061	0	1	04	01	H0710_061_0	6	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0710	062	0	1	04	01	H0710_062_0	6	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0710	063	0	1	04	01	H0710_063_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0710	064	0	1	04	01	H0710_064_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0710	066	0	1	04	01	H0710_066_0	6	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0710	067	0	1	04	01	H0710_067_0	6	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0710	068	0	1	04	01	H0710_068_0	6	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0710	069	0	1	04	01	H0710_069_0	6	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0710	070	0	1	04	01	H0710_070_0	6	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0710	071	0	1	04	01	H0710_071_0	6	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0710	801	0	1	04	01	H0710_801_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0710	802	0	1	04	01	H0710_802_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0710	803	0	1	04	01	H0710_803_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0710	804	0	2	04	01	H0710_804_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0710	805	0	2	04	01	H0710_805_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0710	806	0	2	04	01	H0710_806_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0710	807	0	1	04	01	H0710_807_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0710	808	0	1	04	01	H0710_808_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0710	809	0	1	04	01	H0710_809_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0710	810	0	1	04	01	H0710_810_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0710	811	0	1	04	01	H0710_811_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0710	812	0	2	04	01	H0710_812_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0710	813	0	2	04	01	H0710_813_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0710	814	0	2	04	01	H0710_814_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0710	815	0	1	04	01	H0710_815_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0710	816	0	1	04	01	H0710_816_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0710	817	0	1	04	01	H0710_817_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0710	818	0	1	04	01	H0710_818_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0710	819	0	1	04	01	H0710_819_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0710	820	0	1	04	01	H0710_820_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0710	821	0	1	04	01	H0710_821_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0710	822	0	1	04	01	H0710_822_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0710	823	0	1	04	01	H0710_823_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0710	824	0	2	04	01	H0710_824_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0710	825	0	1	04	01	H0710_825_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0710	826	0	1	04	01	H0710_826_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0710	827	0	1	04	01	H0710_827_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0710	829	0	1	04	01	H0710_829_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0710	830	0	1	04	01	H0710_830_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0710	831	0	1	04	01	H0710_831_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0712	005	0	1	01	01	H0712_005_0	19	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H0712	019	0	1	01	01	H0712_019_0	19	2								2							2				1	11	285.00	285.00	285.00	285.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H0712	020	0	1	01	01	H0712_020_0	6	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H0712	023	0	1	01	01	H0712_023_0	9	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H0712	025	0	1	01	01	H0712_025_0	19	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H0712	029	0	1	01	01	H0712_029_0	19	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H0724	801	0	1	01	01	H0724_801_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0738	001	0	1	01	01	H0738_001_0	9	2								1	11	35	35	35	35	2	2				2							1	1	1	2	2	80	3		1			100000	May consist of a car, shuttle, or van service depending on appropriateness for the situation and the members needs.											2				2				2			2		2			2	2
H0755	030	0	1	02	01	H0755_030_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H0755	031	0	1	02	01	H0755_031_0	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0755	032	0	1	02	01	H0755_032_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H0755	033	0	1	02	01	H0755_033_0	6	2								2							2				1	11	255.00	255.00	255.00	255.00	2	1	2																																							
H0755	037	0	1	02	01	H0755_037_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H0755	038	0	1	02	01	H0755_038_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H0755	044	0	1	02	01	H0755_044_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H0755	045	0	1	02	01	H0755_045_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H0755	810	0	1	01	01	H0755_810_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0755	811	0	1	01	01	H0755_811_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0755	812	0	1	01	01	H0755_812_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0755	813	0	1	01	01	H0755_813_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0755	814	0	1	01	01	H0755_814_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0755	815	0	1	01	01	H0755_815_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0764	001	0	1	04	01	H0764_001_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0783	002	0	1	01	01	H0783_002_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	2	48	3		1			101010	car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H0783	003	0	1	01	01	H0783_003_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	2	26	3		1			101010	car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H0783	004	0	1	01	01	H0783_004_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H0809	001	0	1	20	08	H0809_001_0	1																																																																			
H0809	002	0	1	20	08	H0809_002_0	1																																																																			
H0819	001	0	1	20	08	H0819_001_0	1																																																																			
H0819	002	0	1	20	08	H0819_002_0	1																																																																			
H0838	024	0	1	01	01	H0838_024_0	8	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	12	3		1			011011												2				2				2			2		1	0.00	0.00	1	2
H0838	039	1	1	01	01	H0838_039_1	8	2								1	10			20	20	2	2				1	01	0.00	200.00			2	1	1	1	2	2	12	3		1			011011												2				2				2			2		1	0.00	0.00	1	2
H0838	039	2	1	01	01	H0838_039_2	8	2								1	10			20	20	2	2				1	01	0.00	150.00			2	1	1	1	2	2	12	3		1			011011												2				2				2			2		1	0.00	0.00	1	2
H0838	040	1	1	01	01	H0838_040_1	9	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	12	3		1			011011												2				2				2			2		1	0.00	0.00	1	2
H0838	040	2	1	01	01	H0838_040_2	10	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	12	3		1			011011												2				2				2			2		1	0.00	0.00	1	2
H0838	046	0	1	01	01	H0838_046_0	10	2								2							2				1	11	0.00	250.00	275.00	275.00	2	1	1	1	2	2	12	3		1			011011												2				2				2			2		1	0.00	0.00	1	2
H0838	047	0	1	01	01	H0838_047_0	10	2								2							2				1	11	0.00	200.00	200.00	200.00	2	1	1	1	2	2	12	3		1			011011												2				2				2			2		1	0.00	0.00	1	2
H0838	048	0	1	01	01	H0838_048_0	9	2								1	10			20	20	2	2				1	01	0.00	275.00			2	1	1	1	2	2	12	3		1			011011												2				2				2			2		1	0.00	0.00	1	2
H0838	049	0	1	01	01	H0838_049_0	9	2								1	10			20	20	2	2				1	01	0.00	150.00			2	1	2																																							
H0838	050	1	1	01	01	H0838_050_1	8	2								1	10			20	20	2	2				1	01	0.00	150.00			2	1	1	1	2	2	24	3		1			011011												2				2				2			2		1	0.00	0.00	1	2
H0838	050	2	1	01	01	H0838_050_2	8	2								1	10			20	20	2	2				1	01	0.00	200.00			2	1	1	1	2	2	24	3		1			011011												2				2				2			2		1	0.00	0.00	1	2
H0838	051	1	1	01	01	H0838_051_1	9	2								1	10			20	20	2	2				1	01	0.00	250.00			2	1	1	1	2	2	12	3		1			011011												2				2				2			2		1	0.00	0.00	1	2
H0838	051	2	1	01	01	H0838_051_2	8	2								1	10			20	20	2	2				1	01	0.00	150.00			2	1	1	1	2	2	24	3		1			011011												2				2				2			2		1	0.00	0.00	1	2
H0839	001	0	1	20	08	H0839_001_0	2																																																																			
H0839	002	0	1	20	08	H0839_002_0	2																																																																			
H0845	001	0	1	01	01	H0845_001_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H0876	001	0	1	01	01	H0876_001_0	10	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	50	3		1			011010												2				2				2			2		2			2	2
H0885	001	0	1	04	01	H0885_001_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	2											2	1				1			001000		2				2				2			2		2			2	2
H0885	002	0	1	04	01	H0885_002_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	2											2	1				1			001000		2				2				2			2		2			2	2
H0885	003	0	1	04	01	H0885_003_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	2											2	1				1			001000		2				2				2			2		2			2	2
H0885	004	0	1	04	01	H0885_004_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	2											2	1				1			001000		2				2				2			2		2			2	2
H0885	005	0	1	04	01	H0885_005_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	2											2	1				1			001000		2				2				2			2		2			2	2
H0885	006	0	1	04	01	H0885_006_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	2											2	1				1			001000		2				2				2			2		2			2	2
H0885	801	0	1	04	01	H0885_801_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0885	802	0	1	04	01	H0885_802_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0885	805	0	1	04	01	H0885_805_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0885	806	0	1	04	01	H0885_806_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0885	807	0	1	04	01	H0885_807_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0885	808	0	1	04	01	H0885_808_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0885	809	0	1	04	01	H0885_809_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0885	810	0	1	04	01	H0885_810_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0907	001	0	1	02	01	H0907_001_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	210	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H0907	002	0	1	02	01	H0907_002_0	7	2								2							2				1	11	280.00	280.00	280.00	280.00	2	1	1	1	2	2	84	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H0908	001	0	1	01	01	H0908_001_0	18	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H0908	003	0	1	01	01	H0908_003_0	17	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H0908	004	0	1	01	01	H0908_004_0	5	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H0908	005	0	1	01	01	H0908_005_0	18	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0908	006	0	1	01	01	H0908_006_0	16	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0913	002	0	1	02	01	H0913_002_0	19	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H0913	013	0	1	01	01	H0913_013_0	6	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0913	015	0	1	01	01	H0913_015_0	6	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H0913	017	0	1	01	01	H0913_017_0	18	2								2							2				1	11	310.00	310.00	310.00	310.00	2	1	2																																							
H0913	020	0	1	01	01	H0913_020_0	6	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H0913	021	0	1	01	01	H0913_021_0	18	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H0927	001	0	1	48	05	H0927_001_0	3	2								2							2				2							1	1	1	2	1				2			010111												2				2				2			2		2			2	2
H0934	001	0	1	20	08	H0934_001_0	1																																																																			
H0934	002	0	1	20	08	H0934_002_0	1																																																																			
H0969	001	0	1	04	01	H0969_001_0	19	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H0969	003	0	1	04	01	H0969_003_0	19	2								2							2				1	11	235.00	235.00	235.00	235.00	2	1	2																																							
H0969	005	0	1	04	01	H0969_005_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H0976	001	0	1	01	01	H0976_001_0	8	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			011011												2				2				2			2		2			2	2
H0976	002	0	1	01	01	H0976_002_0	10	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			011011												2				2				2			2		2			2	2
H0978	001	0	1	01	01	H0978_001_0	8	2								2							2				1	11	125.00	125.00	125.00	125.00	2	1	1	1	2	2	54	3		1			011010												2				2				2			2		2			2	2
H0978	002	0	1	01	01	H0978_002_0	7	2								2							2				1	11	125.00	125.00	125.00	125.00	2	1	1	1	2	2	56	3		1			011011												2				2				2			2		2			2	2
H0978	003	0	1	01	01	H0978_003_0	7	2								2							2				1	11	125.00	125.00	125.00	125.00	2	1	1	1	2	2	56	3		1			011011												2				2				2			2		2			2	2
H0978	004	0	1	01	01	H0978_004_0	8	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	20	3		1			011010												2				2				2			2		2			2	2
H0978	005	0	1	01	01	H0978_005_0	7	2								2							2				1	11	185.00	185.00	185.00	185.00	2	1	1	1	2	2	54	3		1			011010												2				2				2			2		2			2	2
H0978	006	0	1	01	01	H0978_006_0	7	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	54	3		1			011011												2				2				2			2		2			2	2
H0978	007	0	1	01	01	H0978_007_0	7	2								2							2				1	11	175.00	175.00	175.00	175.00	2	1	1	1	2	2	54	3		1			011011												2				2				2			2		2			2	2
H0978	008	0	1	01	01	H0978_008_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	20	3		1			011010												2				2				2			2		2			2	2
H0978	009	0	1	01	01	H0978_009_0	7	2								2							2				1	11	121.00	121.00	121.00	121.00	2	1	1	1	2	2	54	3		1			011010												2				2				2			2		2			1	2
H0978	010	0	1	01	01	H0978_010_0	9	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011010												2				2				2			2		2			2	2
H0978	011	0	1	01	01	H0978_011_0	7	2								2							2				1	11	125.00	125.00	125.00	125.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		2			2	2
H0978	802	0	1	01	01	H0978_802_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0978	803	0	1	01	01	H0978_803_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H0982	002	0	1	01	01	H0982_002_0	13	2								2							2				2							1	1	1	2	1				1			010111												2				2				2			2		2			2	1
H0982	007	0	1	01	01	H0982_007_0	12	2								1	10			20	20	1	2				1	01	75.00	75.00			1	1	1	1	2	1				1			010111												2				2				2			2		2			2	1
H0982	008	0	1	01	01	H0982_008_0	12	2								1	10			20	20	1	2				1	01	200.00	200.00			1	1	1	1	2	1				1			010111												2				2				2			2		2			2	1
H0982	009	0	1	01	01	H0982_009_0	12	2								1	10			20	20	1	2				1	01	200.00	200.00			1	1	1	1	2	1				1			010111												2				2				2			2		2			2	1
H0982	010	0	1	01	01	H0982_010_0	13	2								2							2				2							1	1	1	2	1				1			010111												2				2				2			2		2			2	1
H0982	012	0	1	01	01	H0982_012_0	13	2								2							2				2							1	1	1	2	1				1			010111												2				2				2			2		2			2	1
H0982	013	0	1	01	01	H0982_013_0	13	2								2							2				2							1	1	1	2	1				1			010111												2				2				2			2		2			2	1
H0982	016	0	1	01	01	H0982_016_0	12	2								1	10			20	20	1	2				1	01	0.00	0.00			1	1	1	1	2	1				1			010111												2				2				2			2		2			2	1
H0982	017	0	1	01	01	H0982_017_0	12	2								1	10			20	20	1	2				1	01	0.00	0.00			1	1	1	1	2	1				1			010111												2				2				2			2		2			2	1
H0982	018	0	1	01	01	H0982_018_0	13	2								1	10			20	20	1	2				1	01	0.00	0.00			1	1	1	1	2	1				1			010111												2				2				2			2		2			2	1
H0982	019	0	1	01	01	H0982_019_0	12	2								1	10			20	20	1	2				1	01	200.00	200.00			1	1	1	1	2	1				1			010111												2				2				2			2		2			2	1
H0982	020	0	1	01	01	H0982_020_0	12	2								1	10			20	20	1	2				1	01	100.00	100.00			1	1	1	1	2	1				1			010111												2				2				2			2		2			2	1
H0982	021	0	1	01	01	H0982_021_0	12	2								1	10			20	20	1	2				1	01	100.00	100.00			1	1	1	1	2	1				1			010111												2				2				2			2		2			2	1
H0982	022	0	1	01	01	H0982_022_0	12	2								1	10			20	20	1	2				2							1	1	1	2	1				1			010111												2				2				2			2		2			2	1
H1016	001	0	1	01	01	H1016_001_0	8	2								1	10			20	20	2	2				1	01	165.00	165.00			2	1	1	1	2	2	8	3		1			001011												2				2				2			2		2			2	2
H1016	021	0	1	01	01	H1016_021_0	8	2								1	10			20	20	2	2				1	01	180.00	180.00			2	1	1	1	2	2	8	3		1			001011												2				2				2			2		2			2	2
H1016	023	0	1	01	01	H1016_023_0	8	2								1	10			20	20	2	2				1	01	145.00	145.00			2	1	1	1	2	1				1			001011												2				2				2			2		2			2	2
H1016	024	0	1	01	01	H1016_024_0	8	2								1	10			20	20	2	2				1	01	180.00	180.00			2	1	1	1	2	1				1			001011												2				2				2			2		2			2	2
H1016	025	0	1	02	01	H1016_025_0	9	2								1	10			20	20	2	2				1	01	165.00	165.00			2	1	1	1	2	2	8	3		1			001011												2				2				2			2		2			2	2
H1016	026	0	1	02	01	H1016_026_0	9	2								1	10			20	20	2	2				1	01	165.00	165.00			2	1	1	1	2	2	8	3		1			001011												2				2				2			2		2			2	2
H1016	029	0	1	01	01	H1016_029_0	8	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	1	1	2	1				1			001011												2				2				2			2		1	0.00	0.00	2	2
H1016	030	0	1	01	01	H1016_030_0	7	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	1				1			001011												2				2				2			2		1	0.00	0.00	2	2
H1016	031	0	1	01	01	H1016_031_0	8	2								1	10			20	20	2	2				1	01	145.00	145.00			2	1	1	1	2	1				1			001011												2				2				2			2		2			2	2
H1016	032	0	1	01	01	H1016_032_0	8	2								1	10			20	20	2	2				1	01	180.00	180.00			2	1	1	1	2	1				1			001011												2				2				2			2		2			2	2
H1016	801	0	1	01	01	H1016_801_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H1016	802	0	1	01	01	H1016_802_0	4	2								1	11	20	20	20	20	2	2				2							2	2																																							
H1016	803	0	1	01	01	H1016_803_0	4	2								1	11	20	20	20	20	2	2				2							2	2																																							
H1016	804	0	1	01	01	H1016_804_0	4	2								1	11	20	20	20	20	2	2				2							2	2																																							
H1019	001	0	1	01	01	H1019_001_0	6	2								1	10			20	20	2	2				1	01	0.00	0.00			2	1	1	1	2	1				1			111011	Car, wheelchair access vehicle, bus											2				2				2			2		1	0.00	0.00	1	2
H1019	006	0	1	01	01	H1019_006_0	6	2								1	10			20	20	2	2				1	01	75.00	75.00			2	1	1	1	2	1				1			111011	Car, wheelchair access vehicle, bus											2				2				2			2		1	0.00	0.00	1	2
H1019	023	0	1	01	01	H1019_023_0	6	2								1	10			20	20	2	2				1	01	100.00	100.00			2	1	1	1	2	1				1			111011	Car, wheelchair access vehicle, bus											2				2				2			2		1	0.00	0.00	1	2
H1019	026	0	1	01	01	H1019_026_0	6	2								1	10			20	20	2	2				1	01	100.00	100.00			2	1	1	1	2	1				1			111011	Car, wheelchair access vehicle, bus											2				2				2			2		1	0.00	0.00	1	2
H1019	043	0	1	01	01	H1019_043_0	6	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	2	50	3		1			111011	Car, wheelchair access vehicle, bus											2				2				2			2		1	0.00	0.00	1	2
H1019	057	0	1	02	01	H1019_057_0	6	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	2	50	3		1			111011	Car, wheelchair access vehicle, bus											2				2				2			2		1	0.00	0.00	1	2
H1019	065	0	1	01	01	H1019_065_0	6	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	2	50	3		1			111011	Car, wheelchair access vehicle, bus											2				2				2			2		1	0.00	0.00	1	2
H1019	069	0	1	01	01	H1019_069_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H1019	073	0	1	01	01	H1019_073_0	6	2								1	10			20	20	2	2				1	01	100.00	100.00			2	1	1	1	2	1				1			111011	Car, wheelchair access vehicle, bus											2				2				2			2		1	0.00	0.00	1	2
H1019	076	0	1	01	01	H1019_076_0	6	2								1	10			20	20	2	2				1	01	100.00	100.00			2	1	1	1	2	2	50	3		1			111011	Car, wheelchair access vehicle, bus											2				2				2			2		1	0.00	0.00	1	2
H1019	094	0	1	01	01	H1019_094_0	6	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	2																																							
H1019	098	0	1	01	01	H1019_098_0	6	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	2	50	3		1			111011	Car, wheelchair access vehicle, bus											2				2				2			2		1	0.00	0.00	1	2
H1019	102	0	1	01	01	H1019_102_0	6	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	1	1	2	2	50	3		1			111011	Car, wheelchair access vehicle, bus											2				2				2			2		1	0.00	0.00	1	2
H1019	103	1	1	01	01	H1019_103_1	5	2								1	10			20	20	2	2				1	01	0.00	0.00			2	1	1	1	2	1				1			111011	Car, wheelchair access vehicle, bus											2				2				2			2		1	0.00	0.00	1	2
H1019	103	2	1	01	01	H1019_103_2	5	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	1				1			111011	Car, wheelchair access vehicle, bus											2				2				2			2		1	0.00	0.00	1	2
H1019	104	1	1	01	01	H1019_104_1	6	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	2	50	3		1			111011	Car, wheelchair access vehicle, bus											2				2				2			2		1	0.00	0.00	1	2
H1019	104	2	1	01	01	H1019_104_2	6	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	2	26	3		1			111011	Car, wheelchair access vehicle, bus											2				2				2			2		1	0.00	0.00	1	2
H1019	108	0	1	01	01	H1019_108_0	13	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	2	26	3		1			111011	Car, wheelchair access vehicle, bus											2				2				2			2		1	0.00	0.00	1	2
H1019	109	0	1	01	01	H1019_109_0	6	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	2	50	3		1			111011	Car, wheelchair access vehicle, bus											2				2				2			2		1	0.00	0.00	1	2
H1019	110	0	1	02	01	H1019_110_0	7	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	2	26	3		1			111011	Car, wheelchair access vehicle, bus											2				2				2			2		1	0.00	0.00	1	2
H1019	113	0	1	01	01	H1019_113_0	6	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	1				1			111011	Car, wheelchair access vehicle, bus											2				2				2			2		1	0.00	0.00	1	2
H1019	117	0	1	01	01	H1019_117_0	6	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	2	26	3		1			111011	Car, wheelchair access vehicle, bus											2				2				2			2		1	0.00	0.00	1	2
H1019	118	0	1	01	01	H1019_118_0	6	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	2	50	3		1			111011	Car, wheelchair access vehicle, bus											2				2				2			2		1	0.00	0.00	1	2
H1019	119	0	1	01	01	H1019_119_0	4	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	1	1	2	2	50	3		1			111011	Car, wheelchair access vehicle, bus											2				2				2			2		1	0.00	0.00	1	2
H1019	120	1	1	01	01	H1019_120_1	6	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	2	26	3		1			111011	Car, wheelchair access vehicle, bus											2				2				2			2		1	0.00	0.00	1	2
H1019	120	2	1	01	01	H1019_120_2	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	2	26	3		1			111011	Car, wheelchair access vehicle, bus											2				2				2			2		1	0.00	0.00	1	2
H1019	121	0	1	01	01	H1019_121_0	6	2								1	10			20	20	2	2				1	01	120.00	120.00			2	1	1	1	2	2	50	3		1			111011	Car, wheelchair access vehicle, bus											2				2				2			2		1	0.00	0.00	1	2
H1019	122	0	1	01	01	H1019_122_0	6	2								1	10			20	20	2	2				1	01	90.00	90.00			2	1	1	1	2	2	26	3		1			111011	Car, wheelchair access vehicle, bus											2				2				2			2		1	0.00	0.00	1	2
H1019	123	0	1	01	01	H1019_123_0	6	2								1	10			20	20	2	2				1	01	120.00	120.00			2	1	1	1	2	2	50	3		1			111011	Car, wheelchair access vehicle, bus											2				2				2			2		1	0.00	0.00	1	2
H1019	124	0	1	01	01	H1019_124_0	6	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	1	1	2	2	50	3		1			111011	Car, wheelchair access vehicle, bus											2				2				2			2		1	0.00	0.00	1	2
H1019	125	0	1	01	01	H1019_125_0	6	2								1	10			20	20	2	2				1	01	90.00	90.00			2	1	1	1	2	2	26	3		1			111011	Car, wheelchair access vehicle, bus											2				2				2			2		1	0.00	0.00	1	2
H1019	130	0	1	01	01	H1019_130_0	6	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	1	1	2	2	50	3		1			111011	Car, wheelchair access vehicle, bus											2				2				2			2		1	0.00	0.00	1	2
H1019	131	0	1	01	01	H1019_131_0	4	2								1	10			20	20	2	2				1	01	175.00	175.00			2	1	1	1	2	2	50	3		1			111011	Car, wheelchair access vehicle, bus											2				2				2			2		1	0.00	0.00	1	2
H1019	132	0	1	01	01	H1019_132_0	4	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	2	50	3		1			111011	Car, wheelchair access vehicle, bus											2				2				2			2		1	0.00	0.00	1	2
H1019	133	0	1	01	01	H1019_133_0	3	2								1	10			20	20	2	2				1	01	125.00	125.00			2	1	1	1	2	2	50	3		1			111011	Car, wheelchair access vehicle, bus											2				2				2			2		1	0.00	0.00	1	2
H1019	134	0	1	01	01	H1019_134_0	5	2								1	10			20	20	2	2				1	01	90.00	90.00			2	1	1	1	2	2	50	3		1			111011	Car, wheelchair access vehicle, bus											2				2				2			2		1	0.00	0.00	1	2
H1019	135	0	1	01	01	H1019_135_0	5	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	1	1	2	2	50	3		1			111011	Car, wheelchair access vehicle, bus											2				2				2			2		1	0.00	0.00	1	2
H1019	136	0	1	01	01	H1019_136_0	5	2								1	10			20	20	2	2				1	01	120.00	120.00			2	1	1	1	2	2	50	3		1			111011	Car, wheelchair access vehicle, bus											2				2				2			2		1	0.00	0.00	1	2
H1019	137	0	1	01	01	H1019_137_0	5	2								1	10			20	20	2	2				1	01	90.00	90.00			2	1	1	1	2	2	26	3		1			111011	Car, wheelchair access vehicle, bus											2				2				2			2		1	0.00	0.00	1	2
H1019	138	0	1	01	01	H1019_138_0	5	2								1	10			20	20	2	2				1	01	90.00	90.00			2	1	1	1	2	2	26	3		1			111011	Car, wheelchair access vehicle, bus											2				2				2			2		1	0.00	0.00	1	2
H1019	139	0	1	01	01	H1019_139_0	5	2								1	10			20	20	2	2				1	01	120.00	120.00			2	1	1	1	2	2	26	3		1			111011	Car, wheelchair access vehicle, bus											2				2				2			2		1	0.00	0.00	1	2
H1019	140	0	1	01	01	H1019_140_0	5	2								1	10			20	20	2	2				1	01	90.00	90.00			2	1	1	1	2	2	26	3		1			111011	Car, wheelchair access vehicle, bus											2				2				2			2		1	0.00	0.00	1	2
H1019	141	0	1	02	01	H1019_141_0	11	2								1	10			20	20	2	2				1	01	120.00	120.00			2	1	1	1	2	2	50	3		1			111011	Car, wheelchair access vehicle, bus											2				2				2			2		1	0.00	0.00	1	2
H1019	142	0	1	02	01	H1019_142_0	5	2								1	10			20	20	2	2				1	01	120.00	120.00			2	1	1	1	2	2	50	3		1			111011	Car, wheelchair access vehicle, bus											2				2				2			2		1	0.00	0.00	1	2
H1019	143	0	1	02	01	H1019_143_0	3	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	1	1	2	2	50	3		1			111011	Car, wheelchair access vehicle, bus											2				2				2			2		1	0.00	0.00	1	2
H1019	144	0	1	01	01	H1019_144_0	5	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	26	3		1			111011	Car, wheelchair access vehicle, bus											2				2				2			2		1	0.00	0.00	1	2
H1019	145	0	1	01	01	H1019_145_0	5	2								1	10			20	20	2	2				1	01	100.00	100.00			2	1	1	1	2	1				1			111011	Car, wheelchair access vehicle, bus											2				2				2			2		1	0.00	0.00	1	2
H1019	146	0	1	01	01	H1019_146_0	5	2								1	10			20	20	2	2				1	01	100.00	100.00			2	1	1	1	2	1				1			111011	Car, wheelchair access vehicle, bus											2				2				2			2		1	0.00	0.00	1	2
H1032	124	0	1	01	01	H1032_124_0	18	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H1032	170	0	1	01	01	H1032_170_0	18	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H1032	175	0	1	01	01	H1032_175_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H1032	176	0	1	01	01	H1032_176_0	8	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H1032	189	0	1	01	01	H1032_189_0	18	2								2							2				1	11	185.00	185.00	185.00	185.00	2	1	2																																							
H1032	190	0	1	01	01	H1032_190_0	18	2								2							2				1	11	190.00	190.00	190.00	190.00	2	1	2																																							
H1032	191	0	1	01	01	H1032_191_0	18	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	2																																							
H1032	192	0	1	01	01	H1032_192_0	18	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H1032	193	0	1	01	01	H1032_193_0	8	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H1032	194	0	1	01	01	H1032_194_0	18	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H1032	195	0	1	01	01	H1032_195_0	18	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	2																																							
H1032	196	0	1	01	01	H1032_196_0	18	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	36	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H1032	198	0	1	01	01	H1032_198_0	18	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H1032	199	0	1	01	01	H1032_199_0	18	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H1032	200	0	1	01	01	H1032_200_0	8	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	2																																							
H1032	201	0	1	01	01	H1032_201_0	7	2								2							2				1	11	230.00	230.00	230.00	230.00	2	1	1	1	2	2	48	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H1032	202	0	1	01	01	H1032_202_0	19	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	2	2	36	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H1032	204	0	1	01	01	H1032_204_0	18	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H1032	205	0	1	01	01	H1032_205_0	18	2								2							2				1	11	245.00	245.00	245.00	245.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H1032	206	0	1	01	01	H1032_206_0	18	2								2							2				1	11	0.00	0.00	0.00	0.00	2	1	1	1	2	2	36	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H1032	209	0	1	01	01	H1032_209_0	7	2								2							2				1	11	235.00	235.00	235.00	235.00	2	1	2																																							
H1032	210	0	1	01	01	H1032_210_0	18	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	2																																							
H1032	211	0	1	01	01	H1032_211_0	18	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H1032	212	0	1	01	01	H1032_212_0	18	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	2																																							
H1032	213	0	1	01	01	H1032_213_0	18	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	36	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H1032	218	0	1	01	01	H1032_218_0	18	2								2							2				1	11	235.00	235.00	235.00	235.00	2	1	2																																							
H1032	237	0	1	01	01	H1032_237_0	17	2								2							2				1	11	75.00	75.00	75.00	75.00	2	1	1	1	2	2	36	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H1035	002	0	1	02	01	H1035_002_0	10	2								2							2				1	11	175.00	175.00	175.00	175.00	2	1	2																																							
H1035	006	0	1	01	01	H1035_006_0	8	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	2																																							
H1035	011	0	1	01	01	H1035_011_0	8	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	2																																							
H1035	014	0	1	01	01	H1035_014_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H1035	016	0	1	01	01	H1035_016_0	7	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	2																																							
H1035	017	0	1	01	01	H1035_017_0	9	2								2							2				1	11	245.00	245.00	245.00	245.00	2	1	1	1	2	2	48	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H1035	018	0	1	01	01	H1035_018_0	9	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H1035	019	0	1	01	01	H1035_019_0	9	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H1035	020	0	1	01	01	H1035_020_0	9	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H1035	021	0	1	01	01	H1035_021_0	10	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H1035	022	0	1	01	01	H1035_022_0	9	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	48	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H1035	023	0	1	01	01	H1035_023_0	9	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	48	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H1035	024	0	1	01	01	H1035_024_0	9	2								2							2				1	11	180.00	180.00	180.00	180.00	2	1	1	1	2	2	48	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H1035	025	0	1	01	01	H1035_025_0	9	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	48	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H1035	026	0	1	01	01	H1035_026_0	9	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	48	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H1035	027	0	1	01	01	H1035_027_0	12	2								2							2				1	11	0.00	0.00	0.00	0.00	2	1	1	1	2	1				1			011111												2				2				2			2		1	0.00	0.00	2	2
H1035	028	0	1	01	01	H1035_028_0	12	2								2							2				1	11	0.00	0.00	0.00	0.00	2	1	1	1	2	1				1			011111												2				2				2			2		1	0.00	0.00	2	2
H1035	029	0	1	01	01	H1035_029_0	12	2								2							2				1	11	0.00	0.00	0.00	0.00	2	1	1	1	2	1				1			011111												2				2				2			2		1	0.00	0.00	2	2
H1035	030	0	1	01	01	H1035_030_0	12	2								2							2				1	11	0.00	0.00	0.00	0.00	2	1	1	1	2	1				1			011111												2				2				2			2		1	0.00	0.00	2	2
H1035	031	0	1	01	01	H1035_031_0	12	2								2							2				1	11	0.00	0.00	0.00	0.00	2	1	1	1	2	1				1			011111												2				2				2			2		1	0.00	0.00	2	2
H1035	032	0	1	01	01	H1035_032_0	12	2								2							2				1	11	0.00	0.00	0.00	0.00	2	1	1	1	2	1				1			011111												2				2				2			2		1	0.00	0.00	2	2
H1035	033	0	1	01	01	H1035_033_0	9	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	48	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H1035	034	0	1	01	01	H1035_034_0	10	2								2							2				1	11	280.00	280.00	280.00	280.00	2	1	1	1	2	2	48	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H1035	040	0	1	01	01	H1035_040_0	8	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	2																																							
H1035	043	0	1	01	01	H1035_043_0	9	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	48	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H1035	045	0	1	01	01	H1035_045_0	9	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	48	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H1035	046	0	1	01	01	H1035_046_0	9	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H1035	047	0	1	01	01	H1035_047_0	9	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H1035	048	0	1	01	01	H1035_048_0	9	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	48	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H1035	050	0	1	01	01	H1035_050_0	12	2								2							2				1	11	0.00	0.00	0.00	0.00	2	1	1	1	2	1				1			011111												2				2				2			2		1	0.00	0.00	2	2
H1035	052	0	1	01	01	H1035_052_0	9	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	48	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H1035	801	0	1	01	01	H1035_801_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1035	802	0	1	01	01	H1035_802_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1036	025	0	1	01	01	H1036_025_0	5	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	1				1			101010	Car, wheelchair access vehicle.											2				2				2			2		1	0.00	0.00	1	2
H1036	044	0	1	01	01	H1036_044_0	7	2								1	10			20	20	2	2				1	01	210.00	210.00			2	1	1	1	2	1				1			101010	Car, wheelchair access vehicle.											2				2				2			2		1	0.00	0.00	1	2
H1036	054	0	1	01	01	H1036_054_0	6	2								1	10			20	20	2	2				1	01	75.00	75.00			2	1	1	1	2	1				1			101010	Car, Wheelchair access vehicle.											2				2				2			2		1	0.00	0.00	1	2
H1036	062	0	1	01	01	H1036_062_0	7	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	1				1			100010	Services arranged by the plan's transportation provider to approved locations by means of car, van, or wheelchair access vehicle that provide members access to health benefits.											2				2				2			2		1	0.00	0.00	1	2
H1036	065	0	1	01	01	H1036_065_0	6	2								1	10			20	20	2	2				1	01	0.00	0.00			2	1	1	1	2	1				1			100010	Services arranged by the plan's transportation provider to approved locations by means of car, van, or wheelchair access vehicle that provide members access to health benefits.											2				2				2			2		1	0.00	0.00	1	2
H1036	068	0	1	01	01	H1036_068_0	7	2								1	10			20	20	2	2				1	01	245.00	245.00			2	1	1	1	2	1				1			100010	Services arranged by the plan's transportation provider to approved locations by means of car, van, or wheelchair access vehicle that provide members access to health benefits.											2				2				2			2		1	0.00	0.00	1	2
H1036	074	0	1	01	01	H1036_074_0	7	2								1	10			20	20	2	2				1	01	215.00	215.00			2	1	1	1	2	1				1			100010	Services arranged by the plan's transportation provider to approved locations by means of car, van, or wheelchair access vehicle that provide members access to health benefits.											2				2				2			2		1	0.00	0.00	1	2
H1036	077	0	1	01	01	H1036_077_0	6	2								1	10			20	20	2	2				1	01	0.00	0.00			2	1	1	1	2	1				1			100010	Services arranged by the plan's transportation provider to approved locations by means of car, van, or wheelchair access vehicle that provide members access to health benefits.											2				2				2			2		1	0.00	0.00	1	2
H1036	102	0	1	01	01	H1036_102_0	6	2								1	10			20	20	2	2				1	01	100.00	100.00			2	1	1	1	2	1				1			100010	Services arranged by the plan's transportation provider to approved locations by means of car, van, or wheelchair access vehicle that provide members access to health benefits.											2				2				2			2		1	0.00	0.00	1	2
H1036	119	0	1	01	01	H1036_119_0	5	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	2	50	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H1036	121	0	1	01	01	H1036_121_0	6	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	1	1	2	1				1			101010	Car, Wheelchair access vehicle.											2				2				2			2		1	0.00	0.00	1	2
H1036	137	0	1	02	01	H1036_137_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H1036	143	0	1	01	01	H1036_143_0	7	2								1	10			20	20	2	2				1	01	255.00	255.00			2	1	2																																							
H1036	146	0	1	01	01	H1036_146_0	6	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	1	1	2	1				1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H1036	151	0	1	01	01	H1036_151_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H1036	153	0	1	01	01	H1036_153_0	6	2								2							2				1	11	300.00	300.00	1250.00	1250.00	2	1	2																																							
H1036	157	0	1	01	01	H1036_157_0	6	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	50	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H1036	160	0	1	01	01	H1036_160_0	6	2								1	10			20	20	2	2				1	01	215.00	215.00			2	1	1	1	2	2	50	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H1036	167	0	1	01	01	H1036_167_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	48	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H1036	209	0	1	01	01	H1036_209_0	7	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	1				1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H1036	210	0	1	01	01	H1036_210_0	7	2								1	10			20	20	2	2				1	01	100.00	100.00			2	1	1	1	2	1				1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H1036	213	0	1	01	01	H1036_213_0	7	2								1	10			20	20	2	2				1	01	100.00	100.00			2	1	1	1	2	1				1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H1036	214	0	1	01	01	H1036_214_0	7	2								1	10			20	20	2	2				1	01	100.00	100.00			2	1	1	1	2	1				1			100010	Services arranged by the plan's transportation provider to approved locations by means of car, van, or wheelchair access vehicle that provide members access to health benefits.											2				2				2			2		1	0.00	0.00	1	2
H1036	217	0	1	01	01	H1036_217_0	6	2								1	10			20	20	2	2				1	01	245.00	245.00			2	1	2																																							
H1036	219	0	1	01	01	H1036_219_0	6	2								2							2				1	11	300.00	300.00	1250.00	1250.00	2	1	2																																							
H1036	222	0	1	01	01	H1036_222_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	1				1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H1036	226	0	1	01	01	H1036_226_0	6	2								1	10			20	20	2	2				1	01	0.00	0.00			2	1	1	1	2	1				1			101010	Car, Wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H1036	229	0	1	01	01	H1036_229_0	6	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	1	1	2	2	24	3		1			101010	Car, Wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H1036	230	0	1	01	01	H1036_230_0	7	2								1	10			20	20	2	2				1	01	215.00	215.00			2	1	1	1	2	2	50	3		1			101010	Services arranged by the plan's transportation provider to approved locations by means of car, van, or wheelchair access vehicle that provide members access to health benefits.											2				2				2			2		1	0.00	0.00	1	2
H1036	233	0	1	02	01	H1036_233_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	36	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H1036	234	0	1	01	01	H1036_234_0	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	1				1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H1036	235	0	1	01	01	H1036_235_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	48	3		1			100010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H1036	236	0	1	01	01	H1036_236_0	7	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	1	1	2	2	48	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H1036	265	1	1	01	01	H1036_265_1	5	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	2	50	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H1036	265	2	1	01	01	H1036_265_2	7	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	24	3		1			100010	Services arranged by the plan's transportation provider to approved locations by means of car, van, or wheelchair access vehicle that provide members access to health benefits.											2				2				2			2		1	0.00	0.00	1	2
H1036	266	0	1	01	01	H1036_266_0	5	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	50	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H1036	269	0	1	01	01	H1036_269_0	5	2								1	10			20	20	2	2				1	01	260.00	260.00			2	1	1	1	2	2	50	3		1			101010	Car, wheelchair access vehicle.											2				2				2			2		1	0.00	0.00	1	2
H1036	270	0	1	01	01	H1036_270_0	6	2								1	10			20	20	2	2				1	01	260.00	260.00			2	1	1	1	2	2	24	3		1			100010	Services arranged by the plan's transportation provider to approved locations by means of car, van, or wheelchair access vehicle that provide members access to health benefits.											2				2				2			2		1	0.00	0.00	1	2
H1036	271	0	1	01	01	H1036_271_0	5	2								1	10			20	20	2	2				1	01	255.00	255.00			2	1	2																																							
H1036	278	0	1	01	01	H1036_278_0	6	2								1	10			20	20	2	2				1	01	245.00	245.00			2	1	2																																							
H1036	279	0	1	01	01	H1036_279_0	10	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	1	1	2	1				1			101010	Car, Wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H1036	280	0	1	01	01	H1036_280_0	5	2								1	10			20	20	2	2				1	01	0.00	0.00			2	1	1	1	2	2	4	3		1			101010	Car, wheelchair access vehicle.											2				2				2			2		1	0.00	0.00	1	2
H1036	285	0	1	01	01	H1036_285_0	6	2								1	10			20	20	2	2				1	01	100.00	100.00			2	1	1	1	2	1				1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H1036	286	0	1	01	01	H1036_286_0	5	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	2																																							
H1036	290	0	1	01	01	H1036_290_0	3	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H1036	291	0	1	02	01	H1036_291_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H1036	292	0	1	01	01	H1036_292_0	7	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	2																																							
H1036	295	0	1	01	01	H1036_295_0	6	2								1	10			20	20	2	2				1	01	280.00	280.00			2	1	1	1	2	2	50	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H1036	297	0	1	01	01	H1036_297_0	6	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	1	1	2	1				1			101010	Car, Wheelchair access vehicle.											2				2				2			2		1	0.00	0.00	1	2
H1036	298	0	1	01	01	H1036_298_0	5	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	2																																							
H1036	299	0	1	01	01	H1036_299_0	6	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	2	50	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H1036	300	0	1	01	01	H1036_300_0	6	2								1	10			20	20	2	2				1	01	260.00	260.00			2	1	1	1	2	2	24	3		1			100010	Services arranged by the plan's transportation provider to approved locations by means of car, van, or wheelchair access vehicle that provide members access to health benefits.											2				2				2			2		1	0.00	0.00	1	2
H1036	301	0	1	01	01	H1036_301_0	7	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	1	1	2	2	24	3		1			101010	Car wheelchair access vehicle.											2				2				2			2		1	0.00	0.00	1	2
H1036	302	0	1	01	01	H1036_302_0	6	2								1	10			20	20	2	2				1	01	260.00	260.00			2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle.											2				2				2			2		1	0.00	0.00	1	2
H1036	304	0	1	01	01	H1036_304_0	5	2								1	10			20	20	2	2				1	01	0.00	0.00			2	1	1	1	2	1				1			101010	Car, Wheelchair access vehicle.											2				2				2			2		1	0.00	0.00	1	2
H1036	305	0	1	01	01	H1036_305_0	5	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	1				1			101010	Car, Wheelchair access vehicle.											2				2				2			2		1	0.00	0.00	1	2
H1036	306	0	1	01	01	H1036_306_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H1036	307	0	1	01	01	H1036_307_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	48	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H1036	308	0	1	01	01	H1036_308_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	36	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H1036	309	0	1	01	01	H1036_309_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	1				1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H1036	310	0	1	01	01	H1036_310_0	4	2								1	10			20	20	2	2				1	01	215.00	215.00			2	1	1	1	2	2	50	3		1			101010	Car, wheelchair access vehicle.											2				2				2			2		1	0.00	0.00	1	2
H1036	311	0	1	01	01	H1036_311_0	4	2								1	10			20	20	2	2				1	01	215.00	215.00			2	1	1	1	2	2	50	3		1			100010	Services arranged by the plan's transportation provider to approved locations by means of car, van, or wheelchair access vehicle that provide members access to health benefits.											2				2				2			2		1	0.00	0.00	1	2
H1036	312	0	1	01	01	H1036_312_0	5	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	2	50	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H1036	313	0	1	01	01	H1036_313_0	5	2								1	10			20	20	2	2				1	01	260.00	260.00			2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H1036	314	0	1	01	01	H1036_314_0	6	2								1	10			20	20	2	2				1	01	0.00	0.00			2	1	1	1	2	1				1			101010	car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H1036	315	0	1	01	01	H1036_315_0	6	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle.											2				2				2			2		1	0.00	0.00	1	2
H1036	316	0	1	01	01	H1036_316_0	6	2								1	10			20	20	2	2				1	01	260.00	260.00			2	1	1	1	2	2	24	3		1			101010	Car, Wheelchair access vehicle.											2				2				2			2		1	0.00	0.00	1	2
H1036	801	0	1	01	01	H1036_801_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1036	806	0	1	01	01	H1036_806_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1036	810	0	1	01	01	H1036_810_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1036	811	0	1	01	01	H1036_811_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1036	814	0	1	01	01	H1036_814_0	6	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1036	815	0	1	01	01	H1036_815_0	6	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1036	816	0	1	01	01	H1036_816_0	6	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1036	817	0	1	01	01	H1036_817_0	6	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1036	818	0	1	01	01	H1036_818_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1036	819	0	1	01	01	H1036_819_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1036	820	0	1	01	01	H1036_820_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1036	821	0	1	01	01	H1036_821_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1036	822	0	1	01	01	H1036_822_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1036	823	0	1	01	01	H1036_823_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1036	824	0	1	01	01	H1036_824_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1036	825	0	1	01	01	H1036_825_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1036	826	0	1	01	01	H1036_826_0	7	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1036	827	0	1	01	01	H1036_827_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1036	828	0	1	01	01	H1036_828_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1036	829	0	1	01	01	H1036_829_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1036	832	0	1	01	01	H1036_832_0	6	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1036	833	0	1	01	01	H1036_833_0	6	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1043	001	0	1	20	08	H1043_001_0	2																																																																			
H1043	002	0	1	20	08	H1043_002_0	2																																																																			
H1045	001	0	1	01	01	H1045_001_0	6	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	2	1				1			000010												2				2				2			2		1	0.00	0.00	2	2
H1045	005	0	1	01	01	H1045_005_0	6	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H1045	012	0	1	01	01	H1045_012_0	5	2								2							2				1	11	0.00	0.00	0.00	0.00	2	1	1	1	2	1				1			000010												2				2				2			2		1	0.00	0.00	2	2
H1045	018	0	1	01	01	H1045_018_0	6	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	2	1				1			000010												2				2				2			2		1	0.00	0.00	2	2
H1045	025	0	1	02	01	H1045_025_0	6	2								2							2				1	11	215.00	215.00	215.00	215.00	2	1	2																																							
H1045	026	0	1	02	01	H1045_026_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H1045	028	0	1	02	01	H1045_028_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H1045	030	0	1	02	01	H1045_030_0	9	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H1045	031	0	1	02	01	H1045_031_0	9	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H1045	033	0	1	02	01	H1045_033_0	8	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H1045	034	0	1	02	01	H1045_034_0	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H1045	036	0	1	02	01	H1045_036_0	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H1045	037	0	1	01	01	H1045_037_0	6	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H1045	038	0	1	01	01	H1045_038_0	5	2								2							2				1	11	0.00	0.00	0.00	0.00	2	1	1	1	2	1				1			000010												2				2				2			2		1	0.00	0.00	2	2
H1045	039	0	1	02	01	H1045_039_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	72	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H1045	041	0	1	02	01	H1045_041_0	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H1045	042	0	1	02	01	H1045_042_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H1045	043	0	1	02	01	H1045_043_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H1045	045	0	1	02	01	H1045_045_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H1045	048	1	1	02	01	H1045_048_1	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H1045	048	2	1	02	01	H1045_048_2	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H1045	048	3	1	02	01	H1045_048_3	6	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H1045	048	4	1	02	01	H1045_048_4	6	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	2																																							
H1045	055	0	1	02	01	H1045_055_0	6	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	2																																							
H1045	056	0	1	02	01	H1045_056_0	6	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	2																																							
H1045	801	0	1	01	01	H1045_801_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1045	802	0	1	01	01	H1045_802_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1045	803	0	1	01	01	H1045_803_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1045	804	0	2	01	01	H1045_804_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1099	001	0	1	02	01	H1099_001_0	4	2								2							2				1	11	230.00	230.00	230.00	230.00	2	1	1	2											2	2	32	3		1			001000		2				2				2			2		2			2	2
H1099	006	0	1	01	01	H1099_006_0	4	2								2							2				1	11	240.00	240.00	240.00	240.00	2	1	1	2											2	2	32	3		1			001000		2				2				2			2		2			2	2
H1099	009	0	1	01	01	H1099_009_0	2	2								2							2				1	11	230.00	230.00	230.00	230.00	2	1	1	2											2	2	32	3		1			001000		2				2				2			2		2			2	2
H1099	014	0	1	01	01	H1099_014_0	4	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	2											2	2	32	3		1			001000		2				2				2			2		2			2	2
H1099	016	0	1	01	01	H1099_016_0	4	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	1	2											2	2	32	3		1			001000		2				2				2			2		2			2	2
H1109	005	0	1	01	01	H1109_005_0	6	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H1109	801	0	1	01	01	H1109_801_0	8	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1109	802	0	1	01	01	H1109_802_0	8	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1112	006	0	1	01	01	H1112_006_0	19	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H1112	033	0	1	01	01	H1112_033_0	19	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			011010												2				2				2			2		1	0.00	0.00	1	2
H1112	034	0	1	02	01	H1112_034_0	5	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H1112	038	0	1	01	01	H1112_038_0	8	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H1112	039	0	1	01	01	H1112_039_0	19	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H1112	042	0	1	01	01	H1112_042_0	8	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H1112	043	0	1	01	01	H1112_043_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H1112	044	0	1	01	01	H1112_044_0	8	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H1119	001	0	1	01	01	H1119_001_0	6	2								1	11	20	20	20	20	2	2				2							2	2																																							
H1170	002	0	1	01	01	H1170_002_0	8	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	18	3		1			011011												2				2				2			2		1	0.00	0.00	2	2
H1170	008	0	1	01	01	H1170_008_0	8	2								2							2				1	11	25.00	25.00	25.00	25.00	2	1	1	1	2	2	36	3		1			011011												2				2				2			2		1	0.00	0.00	2	2
H1170	009	0	1	01	01	H1170_009_0	8	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	18	3		1			011011												2				2				2			2		1	0.00	0.00	2	2
H1170	010	0	1	01	01	H1170_010_0	8	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	18	3		1			011011												2				2				2			2		1	0.00	0.00	2	2
H1170	011	0	1	01	01	H1170_011_0	8	2								2							2				1	11	25.00	25.00	25.00	25.00	2	1	1	1	2	2	36	3		1			011011												2				2				2			2		1	0.00	0.00	2	2
H1170	012	0	1	01	01	H1170_012_0	8	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	18	3		1			011011												2				2				2			2		1	0.00	0.00	2	2
H1170	013	0	1	02	01	H1170_013_0	9	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	18	3		1			011011												2				2				2			2		1	0.00	0.00	2	2
H1170	014	0	1	01	01	H1170_014_0	5	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	18	3		1			011011												2				2				2			2		1	0.00	0.00	2	2
H1170	801	0	1	01	01	H1170_801_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1170	802	0	1	01	01	H1170_802_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1170	805	0	1	01	01	H1170_805_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1181	001	0		07	02	H1181_001_0	5																																																																			
H1189	002	0	1	01	01	H1189_002_0	11	2								2							2				1	11	110.00	110.00	110.00	110.00	1	2	1	1	2	2	24	3		2			011011												2				2				2			2		1	0.00	0.00	2	2
H1189	003	0	1	01	01	H1189_003_0	10	2								2							2				1	11	265.00	265.00	265.00	265.00	2	2	1	1	2	2	24	3		2			011011												2				2				2			2		2			2	2
H1189	004	0	1	01	01	H1189_004_0	10	2								2							2				1	11	200.00	200.00	200.00	200.00	1	2	1	1	2	2	24	3		2			011011												2				2				2			2		2			2	2
H1189	005	0	1	01	01	H1189_005_0	10	2								2							2				1	11	200.00	200.00	200.00	200.00	1	2	1	1	2	2	24	3		2			011011												2				2				2			2		2			2	2
H1189	006	0	1	01	01	H1189_006_0	9	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	1	1	2	2	24	3		1			011011												2				2				2			2		2			2	2
H1189	007	0	1	01	01	H1189_007_0	8	2								2							2				1	11	200.00	200.00	200.00	200.00	1	2	1	1	2	2	24	3		2			011011												2				2				2			2		2			2	2
H1189	008	0	1	01	01	H1189_008_0	9	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	1	1	2	2	24	3		2			011011												2				2				2			2		2			2	2
H1189	009	0	1	01	01	H1189_009_0	10	2								2							2				1	11	200.00	200.00	200.00	200.00	1	2	1	1	2	2	24	3		2			011011												2				2				2			2		2			2	2
H1189	010	0	1	01	01	H1189_010_0	10	2								2							2				1	11	200.00	200.00	200.00	200.00	1	2	1	1	2	2	24	3		2			011011												2				2				2			2		2			2	2
H1206	001	0	1	02	01	H1206_001_0	5	2								1	10			20	20	2	2				1	01	285.00	285.00			2	1	2																																							
H1206	002	0	1	02	01	H1206_002_0	5	2								1	10			20	20	2	2				1	01	285.00	285.00			2	1	2																																							
H1206	801	0	1	01	01	H1206_801_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1206	802	0	1	01	01	H1206_802_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1215	001	0	1	01	01	H1215_001_0	19	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1215	002	0	1	01	01	H1215_002_0	19	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H1215	003	0	1	01	01	H1215_003_0	19	2								2							2				1	11	315.00	315.00	315.00	315.00	2	1	2																																							
H1224	001	0	1	01	01	H1224_001_0	7	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1225	001	0	1	01	01	H1225_001_0	10	2								2							2				1	11	240.00	240.00	240.00	240.00	2	1	1	1	2	2	12	3		1			011011												2				2				2			2		2			1	2
H1225	003	0	1	01	01	H1225_003_0	9	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			011011												2				2				2			2		2			1	2
H1225	004	0	1	01	01	H1225_004_0	7	2								1	10			20	20	2	2				1	01	290.00	290.00			2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			1	2
H1228	001	0	1	20	08	H1228_001_0	1																																																																			
H1228	002	0	1	20	08	H1228_002_0	1																																																																			
H1230	001	0	1	01	01	H1230_001_0	13	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H1230	003	0	1	01	01	H1230_003_0	13	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H1230	008	0	1	01	01	H1230_008_0	13	2								2							2				1	11	0.00	0.00	0.00	0.00	2	1	2																																							
H1230	013	0	1	01	01	H1230_013_0	13	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	2																																							
H1230	014	0	1	01	01	H1230_014_0	13	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	2																																							
H1230	801	0	1	01	01	H1230_801_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1230	803	0	1	01	01	H1230_803_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1230	804	0	2	01	01	H1230_804_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1230	805	0	1	01	01	H1230_805_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1230	806	0	2	01	01	H1230_806_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1234	001	0	1	20	08	H1234_001_0	1																																																																			
H1234	002	0	1	20	08	H1234_002_0	1																																																																			
H1239	001	0	1	20	08	H1239_001_0	1																																																																			
H1239	002	0	1	20	08	H1239_002_0	1																																																																			
H1248	004	0	1	04	01	H1248_004_0	8	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H1248	007	0	1	04	01	H1248_007_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H1248	801	0	1	04	01	H1248_801_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1248	802	0	1	04	01	H1248_802_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1248	803	0	1	04	01	H1248_803_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1277	001	0	1	02	01	H1277_001_0	10	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1277	002	0	1	02	01	H1277_002_0	10	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1277	004	0	1	02	01	H1277_004_0	10	2								1	11	20	20	20	20	2	2				2							1	1	2											2	2	60	3		1			011011		2				2				2			2		2			2	2
H1278	001	0	1	04	01	H1278_001_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H1278	003	0	1	04	01	H1278_003_0	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H1278	004	0	1	04	01	H1278_004_0	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H1278	005	0	1	04	01	H1278_005_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H1278	007	0	1	04	01	H1278_007_0	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H1278	009	0	1	04	01	H1278_009_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H1278	010	0	1	04	01	H1278_010_0	6	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	2																																							
H1278	013	0	1	04	01	H1278_013_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H1278	014	0	1	04	01	H1278_014_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H1278	015	0	1	04	01	H1278_015_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H1278	016	0	1	04	01	H1278_016_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H1278	018	0	1	04	01	H1278_018_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H1278	019	0	1	04	01	H1278_019_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H1278	020	0	1	04	01	H1278_020_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H1278	021	0	1	04	01	H1278_021_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H1278	022	0	1	04	01	H1278_022_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H1278	023	0	1	04	01	H1278_023_0	6	2								2							2				1	11	195.00	195.00	195.00	195.00	2	1	2																																							
H1278	024	0	1	04	01	H1278_024_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H1278	025	0	1	04	01	H1278_025_0	4	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H1278	026	0	1	04	01	H1278_026_0	4	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H1278	027	0	1	04	01	H1278_027_0	4	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H1278	028	0	1	04	01	H1278_028_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H1278	029	0	1	04	01	H1278_029_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H1278	030	0	1	04	01	H1278_030_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H1278	031	0	1	04	01	H1278_031_0	4	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H1278	032	0	1	04	01	H1278_032_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H1280	001	0	1	01	01	H1280_001_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	1	1	1	1	2	1				2			011001												2				2				2			2		2			2	2
H1280	002	0	1	01	01	H1280_002_0	5	2								2							2				1	11	250.00	250.00	250.00	250.00	1	1	1	1	2	1				2			011001												2				2				2			2		2			2	2
H1290	001	0	1	01	01	H1290_001_0	11	2								1	10			20	20	2	2				1	01	95.00	95.00			2	1	2																																							
H1290	002	0	1	01	01	H1290_002_0	11	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	2																																							
H1290	003	0	1	01	01	H1290_003_0	11	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H1290	005	0	1	01	01	H1290_005_0	11	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H1290	013	0	1	01	01	H1290_013_0	10	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H1290	014	0	1	01	01	H1290_014_0	10	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H1290	015	0	1	01	01	H1290_015_0	11	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H1290	018	0	1	01	01	H1290_018_0	10	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H1290	019	0	1	01	01	H1290_019_0	13	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	1				1			001011												2				2				2			2		2			2	2
H1290	020	0	1	01	01	H1290_020_0	13	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	1				1			001011												2				2				2			2		2			2	2
H1290	021	0	1	01	01	H1290_021_0	13	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	1				1			001011												2				2				2			2		2			2	2
H1290	022	0	1	01	01	H1290_022_0	13	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H1290	023	0	1	01	01	H1290_023_0	13	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H1290	024	0	1	01	01	H1290_024_0	13	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H1290	025	0	1	01	01	H1290_025_0	11	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H1290	027	0	1	01	01	H1290_027_0	11	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	2																																							
H1290	029	0	1	01	01	H1290_029_0	11	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H1290	031	0	1	01	01	H1290_031_0	10	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H1290	032	0	1	01	01	H1290_032_0	10	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H1290	033	0	1	01	01	H1290_033_0	13	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H1290	034	0	1	01	01	H1290_034_0	13	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H1290	035	0	1	01	01	H1290_035_0	10	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H1290	036	1	1	01	01	H1290_036_1	11	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	2																																							
H1290	036	2	1	01	01	H1290_036_2	11	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	2																																							
H1290	037	1	1	01	01	H1290_037_1	10	2								1	10			20	20	2	2				1	01	95.00	95.00			2	1	2																																							
H1290	037	2	1	01	01	H1290_037_2	10	2								1	10			20	20	2	2				1	01	95.00	95.00			2	1	2																																							
H1290	037	3	1	01	01	H1290_037_3	10	2								1	10			20	20	2	2				1	01	95.00	95.00			2	1	2																																							
H1290	037	4	1	01	01	H1290_037_4	9	2								1	10			20	20	2	2				1	01	95.00	95.00			2	1	2																																							
H1290	037	5	1	01	01	H1290_037_5	9	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	2																																							
H1290	039	0	1	01	01	H1290_039_0	13	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H1290	041	0	1	01	01	H1290_041_0	13	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H1290	042	0	1	01	01	H1290_042_0	12	2								2							2				2							1	1	1	2	1				1			001011												2				2				2			2		2			2	2
H1290	043	0	1	01	01	H1290_043_0	12	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	2																																							
H1290	044	1	1	01	01	H1290_044_1	11	2								1	10			20	20	2	2				1	01	100.00	100.00			2	1	2																																							
H1290	044	2	1	01	01	H1290_044_2	10	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	2																																							
H1290	044	3	1	01	01	H1290_044_3	10	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	2																																							
H1290	045	0	1	01	01	H1290_045_0	10	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H1290	046	0	1	01	01	H1290_046_0	11	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H1290	049	0	1	01	01	H1290_049_0	10	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H1290	050	0	1	01	01	H1290_050_0	11	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H1290	051	1	1	01	01	H1290_051_1	11	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H1290	051	2	1	01	01	H1290_051_2	10	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H1290	052	0	1	01	01	H1290_052_0	13	2								2							2				2							1	1	1	2	1				1			001011												2				2				2			2		2			2	2
H1302	004	0	1	04	01	H1302_004_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H1302	802	0	1	04	01	H1302_802_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H1302	803	0	1	04	01	H1302_803_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H1302	804	0	1	04	01	H1302_804_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H1304	001	0	1	04	01	H1304_001_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H1304	004	0	1	04	01	H1304_004_0	8	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H1304	011	1	1	04	01	H1304_011_1	7	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H1304	011	2	1	04	01	H1304_011_2	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H1304	012	1	1	04	01	H1304_012_1	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H1304	012	2	1	04	01	H1304_012_2	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H1304	803	0	1	04	01	H1304_803_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1304	804	0	1	04	01	H1304_804_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1304	805	0	1	04	01	H1304_805_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1304	806	0	1	04	01	H1304_806_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1310	001	0	1	20	08	H1310_001_0	1																																																																			
H1310	003	0	1	20	08	H1310_003_0	1																																																																			
H1312	001	0	1	20	08	H1312_001_0	1																																																																			
H1312	002	0	1	20	08	H1312_002_0	1																																																																			
H1339	001	0	1	01	01	H1339_001_0	8	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			1	2
H1347	001	0	1	04	01	H1347_001_0	3	2								2							2				1	11	200.00	200.00	200.00	200.00	1	2	2																																							
H1347	002	0	1	04	01	H1347_002_0	3	2								2							2				1	11	265.00	265.00	265.00	265.00	1	2	2																																							
H1347	003	0	1	04	01	H1347_003_0	3	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	2																																							
H1350	006	0	1	01	01	H1350_006_0	3	2								2							2				1	11	175.00	175.00	175.00	175.00	2	1	2																																							
H1350	023	1	1	01	01	H1350_023_1	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H1350	023	2	1	01	01	H1350_023_2	4	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H1350	024	1	1	01	01	H1350_024_1	5	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H1350	024	2	1	01	01	H1350_024_2	5	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H1350	024	3	1	01	01	H1350_024_3	5	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	2																																							
H1350	026	0	1	01	01	H1350_026_0	4	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	2																																							
H1350	028	0	1	01	01	H1350_028_0	4	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H1350	029	0	1	01	01	H1350_029_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H1350	030	0	1	01	01	H1350_030_0	4	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H1350	031	1	1	01	01	H1350_031_1	5	2								2							2				1	11	255.00	255.00	255.00	255.00	2	1	2																																							
H1350	031	2	1	01	01	H1350_031_2	4	2								2							2				1	11	255.00	255.00	255.00	255.00	2	1	2																																							
H1350	031	3	1	01	01	H1350_031_3	4	2								2							2				1	11	255.00	255.00	255.00	255.00	2	1	2																																							
H1350	803	0	1	01	01	H1350_803_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H1350	804	0	1	01	01	H1350_804_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H1350	805	0	1	01	01	H1350_805_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H1350	806	0	1	02	01	H1350_806_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H1350	807	0	1	02	01	H1350_807_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H1352	004	0	1	01	01	H1352_004_0	6	2								2							2				1	11	285.00	285.00	285.00	285.00	2	1	1	2											2	1				1			001001		2				2				2			2		1	0.00	0.00	2	2
H1352	801	0	1	01	01	H1352_801_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1352	803	0	1	01	01	H1352_803_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1352	804	0	1	01	01	H1352_804_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1352	805	0	1	02	01	H1352_805_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1353	002	0	1	01	01	H1353_002_0	20	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H1353	004	0	1	01	01	H1353_004_0	20	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H1353	005	0	1	01	01	H1353_005_0	19	2								2							2				1	11	310.00	310.00	310.00	310.00	2	1	2																																							
H1353	006	0	1	01	01	H1353_006_0	19	2								2							2				1	11	245.00	245.00	245.00	245.00	2	1	2																																							
H1353	007	0	1	01	01	H1353_007_0	7	2								2							2				1	11	310.00	310.00	310.00	310.00	2	1	2																																							
H1357	001	0	1	20	08	H1357_001_0	1																																																																			
H1357	002	0	1	20	08	H1357_002_0	1																																																																			
H1360	001	0	1	02	01	H1360_001_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H1365	001	0	1	04	01	H1365_001_0	6	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H1365	004	2	1	04	01	H1365_004_2	6	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H1365	004	3	1	04	01	H1365_004_3	6	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H1365	802	0	1	04	01	H1365_802_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1365	803	0	1	04	01	H1365_803_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1372	001	0	1	01	01	H1372_001_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				2			011111												1	550.00	3		2				2			2		2			2	2
H1372	002	0	1	01	01	H1372_002_0	7	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	1				2			011111												1	650.00	3		2				2			2		2			2	2
H1372	003	0	1	01	01	H1372_003_0	7	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	1				2			011111												1	650.00	3		2				2			2		2			2	2
H1395	001	0	1	04	01	H1395_001_0	18	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H1395	002	0	1	04	01	H1395_002_0	18	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H1395	003	0	1	04	01	H1395_003_0	17	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H1416	009	0	1	02	01	H1416_009_0	9	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	2																																							
H1416	023	0	1	01	01	H1416_023_0	9	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H1416	026	0	1	02	01	H1416_026_0	19	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H1416	033	0	1	02	01	H1416_033_0	19	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H1416	034	0	1	01	01	H1416_034_0	19	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H1416	035	0	1	01	01	H1416_035_0	19	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			011010												2				2				2			2		1	0.00	0.00	1	2
H1416	036	0	1	01	01	H1416_036_0	20	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			011010												2				2				2			2		1	0.00	0.00	1	2
H1416	041	0	1	01	01	H1416_041_0	9	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	36	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H1416	042	0	1	01	01	H1416_042_0	8	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H1416	043	0	1	02	01	H1416_043_0	19	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			011010												2				2				2			2		1	0.00	0.00	1	2
H1416	044	0	1	01	01	H1416_044_0	19	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			011010												2				2				2			2		1	0.00	0.00	1	2
H1416	055	0	1	01	01	H1416_055_0	19	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H1416	056	0	1	01	01	H1416_056_0	19	2								2							2				1	11	235.00	235.00	235.00	235.00	2	1	2																																							
H1416	057	0	1	01	01	H1416_057_0	22	2								2							2				1	11	310.00	310.00	310.00	310.00	2	1	2																																							
H1416	058	0	1	02	01	H1416_058_0	16	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H1416	059	0	1	02	01	H1416_059_0	16	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H1416	060	0	1	02	01	H1416_060_0	16	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	36	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H1416	061	0	1	02	01	H1416_061_0	16	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	2																																							
H1416	064	0	1	01	01	H1416_064_0	19	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H1416	065	0	1	01	01	H1416_065_0	19	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H1416	068	0	1	01	01	H1416_068_0	9	2								2							2				1	11	230.00	230.00	230.00	230.00	2	1	1	1	2	2	36	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H1416	070	0	1	01	01	H1416_070_0	19	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H1416	071	0	1	01	01	H1416_071_0	19	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H1416	072	0	1	01	01	H1416_072_0	19	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H1416	077	0	1	02	01	H1416_077_0	20	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H1416	079	0	1	01	01	H1416_079_0	19	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H1416	081	0	1	01	01	H1416_081_0	19	2								2							2				1	11	230.00	230.00	230.00	230.00	2	1	1	1	2	2	36	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H1416	082	0	1	02	01	H1416_082_0	9	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	2																																							
H1423	001	0	1	01	01	H1423_001_0	7	2								2							2				1	11	195.00	195.00	195.00	195.00	2	1	1	1	2	2	72	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H1423	002	0	1	01	01	H1423_002_0	7	2								2							2				1	11	195.00	195.00	195.00	195.00	2	1	1	1	2	2	72	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H1423	004	0	1	01	01	H1423_004_0	7	2								2							2				1	11	195.00	195.00	195.00	195.00	2	1	1	1	2	2	72	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H1423	005	0	1	01	01	H1423_005_0	7	2								2							2				1	11	195.00	195.00	195.00	195.00	2	1	1	1	2	2	4	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H1423	007	0	1	01	01	H1423_007_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	12	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H1423	008	0	1	01	01	H1423_008_0	6	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	12	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H1423	009	0	1	01	01	H1423_009_0	7	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	72	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H1426	001	0	1	01	01	H1426_001_0	11	2								2							2				1	11	290.00	290.00	300.00	300.00	1	1	1	1	2	1				1			110000	Wheelchair Van											2				2				2			2		2			2	2
H1426	002	0	1	01	01	H1426_002_0	12	2								2							2				1	11	280.00	280.00	300.00	300.00	1	1	1	1	2	1				1			011010												2				2				2			2		2			2	2
H1463	003	0	1	01	01	H1463_003_0	5	2								2							2				1	11	300.00	300.00	400.00	400.00	2	1	2																																							
H1463	008	0	1	01	01	H1463_008_0	4	2								2							2				1	11	275.00	275.00	450.00	450.00	2	1	2																																							
H1463	015	0	1	02	01	H1463_015_0	5	2								2							2				1	11	350.00	350.00	425.00	425.00	2	1	2																																							
H1463	019	0	1	02	01	H1463_019_0	5	2								2							2				1	11	275.00	275.00	400.00	400.00	2	1	2																																							
H1463	041	0	1	01	01	H1463_041_0	5	2								2							2				1	11	250.00	250.00	375.00	375.00	2	1	2																																							
H1463	042	0	1	02	01	H1463_042_0	5	2								2							2				2							1	2																																							
H1463	044	0	1	02	01	H1463_044_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H1463	801	0	1	01	01	H1463_801_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1463	802	0	1	01	01	H1463_802_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1463	810	0	1	01	01	H1463_810_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1463	811	0	1	02	01	H1463_811_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1463	812	0	1	02	01	H1463_812_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1463	813	0	1	02	01	H1463_813_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1463	814	0	1	02	01	H1463_814_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1468	007	0	1	01	01	H1468_007_0	4	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H1468	013	0	1	01	01	H1468_013_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	2	24	3		1			100010	Services arranged by the plan's transportation provider to approved locations by car, van, or wheelchair access vehicle to provide members access to health benefits. Not to exceed 25 miles per trip.											2				2				2			2		1	0.00	0.00	1	2
H1468	014	0	1	01	01	H1468_014_0	4	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H1468	017	0	1	01	01	H1468_017_0	7	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H1468	018	0	1	01	01	H1468_018_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H1468	802	0	1	01	01	H1468_802_0	6	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1468	803	0	1	01	01	H1468_803_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1468	805	0	1	01	01	H1468_805_0	6	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1468	806	0	1	01	01	H1468_806_0	6	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1500	001	0	1	20	08	H1500_001_0	1																																																																			
H1500	002	0	1	20	08	H1500_002_0	1																																																																			
H1518	001	0	1	20	08	H1518_001_0	1																																																																			
H1518	002	0	1	20	08	H1518_002_0	1																																																																			
H1526	001	0	1	02	01	H1526_001_0	12	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	2											2	2	36	3		1			001011		2				2				2			2		2			1	2
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H1609	034	0	1	01	01	H1609_034_0	6	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	48	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H1609	035	0	1	01	01	H1609_035_0	6	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H1609	038	0	1	01	01	H1609_038_0	6	2								1	10			20	20	2	2				1	01	225.00	225.00			2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H1609	041	0	1	01	01	H1609_041_0	6	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H1609	042	0	1	01	01	H1609_042_0	6	2								1	10			20	20	2	2				1	01	225.00	225.00			2	1	1	1	2	2	48	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H1609	043	0	1	01	01	H1609_043_0	7	2								2							2				1	11	0.00	0.00	0.00	0.00	2	1	1	1	2	1				1			011010												2				2				2			2		1	0.00	0.00	2	2
H1609	044	0	1	01	01	H1609_044_0	7	2								1	10			20	20	2	2				1	01	100.00	100.00			2	1	1	1	2	1				1			011010												2				2				2			2		1	0.00	0.00	2	2
H1609	045	0	1	01	01	H1609_045_0	7	2								1	10			20	20	2	2				1	01	100.00	100.00			2	1	1	1	2	1				1			011010												2				2				2			2		1	0.00	0.00	2	2
H1609	046	0	1	01	01	H1609_046_0	7	2								1	10			20	20	2	2				1	01	100.00	100.00			2	1	1	1	2	1				1			011010												2				2				2			2		1	0.00	0.00	2	2
H1609	047	0	1	01	01	H1609_047_0	7	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	1				1			011010												2				2				2			2		1	0.00	0.00	2	2
H1609	048	0	1	01	01	H1609_048_0	7	2								1	10			20	20	2	2				1	01	100.00	100.00			2	1	1	1	2	1				1			011010												2				2				2			2		1	0.00	0.00	2	2
H1609	049	0	1	01	01	H1609_049_0	7	2								1	10			20	20	2	2				1	01	100.00	100.00			2	1	1	1	2	1				1			011010												2				2				2			2		1	0.00	0.00	2	2
H1609	052	0	1	01	01	H1609_052_0	3	2								1	10			20	20	2	2				1	01	220.00	220.00			2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H1609	053	0	1	01	01	H1609_053_0	6	2								1	10			20	20	2	2				1	01	225.00	225.00			2	1	2																																							
H1609	055	0	1	01	01	H1609_055_0	7	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	1				1			011010												2				2				2			2		1	0.00	0.00	2	2
H1609	056	0	1	01	01	H1609_056_0	7	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	1				1			011010												2				2				2			2		1	0.00	0.00	2	2
H1609	058	0	1	02	01	H1609_058_0	3	2								2							2				1	11	320.00	320.00	320.00	320.00	2	1	2																																							
H1609	059	0	1	01	01	H1609_059_0	6	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	1	1	2	2	48	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H1609	060	0	1	01	01	H1609_060_0	6	2								1	10			20	20	2	2				1	01	225.00	225.00			2	1	2																																							
H1609	061	0	1	01	01	H1609_061_0	6	2								1	10			20	20	2	2				1	01	100.00	100.00			2	1	1	1	2	1				1			011010												2				2				2			2		1	0.00	0.00	2	2
H1609	062	0	1	01	01	H1609_062_0	8	2								1	10			20	20	2	2				1	01	100.00	100.00			2	1	1	1	2	1				1			011010												2				2				2			2		1	0.00	0.00	2	2
H1609	063	0	1	01	01	H1609_063_0	6	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H1609	064	0	1	01	01	H1609_064_0	7	2								1	10			20	20	2	2				1	01	100.00	100.00			2	1	1	1	2	1				1			011010												2				2				2			2		1	0.00	0.00	2	2
H1609	065	0	1	01	01	H1609_065_0	7	2								1	10			20	20	2	2				1	01	100.00	100.00			2	1	1	1	2	1				1			011010												2				2				2			2		1	0.00	0.00	2	2
H1609	066	0	1	01	01	H1609_066_0	6	2								1	10			20	20	2	2				1	01	75.00	75.00			2	1	1	1	2	1				1			011010												2				2				2			2		1	0.00	0.00	2	2
H1609	067	0	1	01	01	H1609_067_0	6	2								1	10			20	20	2	2				1	01	225.00	225.00			2	1	1	1	2	1				1			011010												2				2				2			2		1	0.00	0.00	2	2
H1609	068	0	1	02	01	H1609_068_0	6	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H1609	069	0	1	02	01	H1609_069_0	6	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H1609	801	0	1	01	01	H1609_801_0	7	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1609	807	0	1	01	01	H1609_807_0	7	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1610	001	0	1	01	01	H1610_001_0	7	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1610	002	0	1	01	01	H1610_002_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	12	3		1			011010												2				2				1	0	0	2		2			2	2
H1610	003	0	1	01	01	H1610_003_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011010												2				2				1	0	0	2		2			2	2
H1619	001	0	1	04	01	H1619_001_0	10	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	2																																							
H1619	002	0	1	04	01	H1619_002_0	11	2								1	10			20	20	2	2				1	01	225.00	225.00			2	1	2																																							
H1622	001	0	1	20	08	H1622_001_0	1																																																																			
H1622	003	0	1	20	08	H1622_003_0	1																																																																			
H1644	001	0	1	01	01	H1644_001_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	16	3		1			010111												2				2				2			2		2			2	2
H1651	001	0	1	18	06	H1651_001_0	3	2								2							2				2							2	2																																							
H1651	002	0	1	18	06	H1651_002_0	3	2								2							2				2							2	2																																							
H1651	003	0	1	18	06	H1651_003_0	3	2								2							2				2							2	2																																							
H1651	004	0	1	18	06	H1651_004_0	3	2								2							2				2							2	2																																							
H1651	005	0	1	18	06	H1651_005_0	3	2								2							2				2							2	2																																							
H1651	008	0	1	18	06	H1651_008_0	3	2								2							2				2							2	2																																							
H1651	009	0	1	18	06	H1651_009_0	3	2								2							2				2							2	2																																							
H1651	011	0	1	18	06	H1651_011_0	3	2								2							2				2							2	2																																							
H1651	013	0	1	18	06	H1651_013_0	3	2								2							2				2							2	2																																							
H1651	015	0	1	18	06	H1651_015_0	3	2								2							2				2							2	2																																							
H1651	016	0	1	18	06	H1651_016_0	3	2								2							2				2							2	2																																							
H1651	017	0	1	18	06	H1651_017_0	3	2								2							2				2							2	2																																							
H1651	025	0	1	18	06	H1651_025_0	3	2								2							2				2							2	2																																							
H1659	002	0	1	04	01	H1659_002_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H1659	003	0	1	04	01	H1659_003_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H1664	001	0	1	01	01	H1664_001_0	19	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H1664	004	0	1	01	01	H1664_004_0	19	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H1664	005	0	1	01	01	H1664_005_0	19	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			011010												2				2				2			2		1	0.00	0.00	1	2
H1664	006	0	1	01	01	H1664_006_0	19	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H1664	007	0	1	01	01	H1664_007_0	9	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	36	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H1666	003	0	1	04	01	H1666_003_0	6	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	2																																							
H1666	006	0	1	04	01	H1666_006_0	6	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	2																																							
H1666	008	0	1	04	01	H1666_008_0	7	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H1666	012	0	1	04	01	H1666_012_0	6	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H1666	013	0	1	04	01	H1666_013_0	5	2								1	11	0	0	0	0	2	2				2							1	2																																							
H1666	014	0	1	04	01	H1666_014_0	5	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H1666	015	0	1	04	01	H1666_015_0	6	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H1666	016	0	1	04	01	H1666_016_0	6	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H1666	018	0	1	04	01	H1666_018_0	5	2								1	11	0	0	0	0	2	2				2							1	2																																							
H1666	801	0	1	04	01	H1666_801_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H1666	803	0	1	04	01	H1666_803_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H1666	805	0	1	04	01	H1666_805_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H1666	807	0	1	04	01	H1666_807_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H1666	808	0	1	04	01	H1666_808_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H1692	002	0	1	02	01	H1692_002_0	7	2								2							2				1	11	285.00	285.00	385.00	385.00	1	1	2																																							
H1692	003	0	1	02	01	H1692_003_0	6	2								2							2				1	11	325.00	325.00	425.00	425.00	1	1	2																																							
H1692	005	0	1	01	01	H1692_005_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	18	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H1692	006	0	1	02	01	H1692_006_0	3	2								2							2				1	11	250.00	250.00	350.00	350.00	1	1	2																																							
H1692	007	0	1	02	01	H1692_007_0	6	2								2							2				1	11	300.00	300.00	400.00	400.00	1	1	2																																							
H1692	801	0	1	01	01	H1692_801_0	8	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1692	802	0	1	01	01	H1692_802_0	8	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1693	002	0	1	20	08	H1693_002_0	1																																																																			
H1693	003	0	1	20	08	H1693_003_0	1																																																																			
H1714	001	0	1	20	08	H1714_001_0	2																																																																			
H1714	002	0	1	20	08	H1714_002_0	2																																																																			
H1722	002	0	1	01	01	H1722_002_0	12	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	25	3		1			100000	The plan will cover mass transit and ambulatory vehicles (sedan, van, taxi). Transportation services must be arranged through Healthfirsts transportation vendor.											2				2				2			2		2			1	2
H1723	001	0	1	48	05	H1723_001_0	13	2								2							2				2							1	2																																							
H1732	001	0	1	01	01	H1732_001_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H1732	003	0	1	01	01	H1732_003_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H1737	001	0	1	01	01	H1737_001_0	5	2								2							2				1	11	265.00	265.00	375.00	375.00	2	1	2																																							
H1737	801	0	1	01	01	H1737_801_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1737	802	0	1	01	01	H1737_802_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1737	803	0	1	01	01	H1737_803_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1742	001	0	1	20	08	H1742_001_0	1																																																																			
H1742	002	0	1	20	08	H1742_002_0	1																																																																			
H1748	001	0	1	01	01	H1748_001_0	10	2								2							2				1	11	300.00	300.00	450.00	450.00	2	1	1	1	2	2	50	3		1			011010												2				2				2			2		2			2	2
H1748	003	0	1	01	01	H1748_003_0	10	2								2							2				1	11	225.00	225.00	450.00	450.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		2			2	2
H1748	004	0	1	01	01	H1748_004_0	10	2								2							2				1	11	225.00	225.00	450.00	450.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		2			2	2
H1748	005	0	1	01	01	H1748_005_0	12	2								2							2				2							1	1	1	2	2	50	3		1			011010												2				2				2			2		2			2	2
H1748	010	0	1	01	01	H1748_010_0	10	2								2							2				1	11	400.00	400.00	500.00	500.00	2	1	2																																							
H1774	001	0	1	04	01	H1774_001_0	8	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H1787	001	0	1	01	01	H1787_001_0	7	2								1	11	20	20	20	20	2	2				2							2	1	1	2	2	26	3		1			010111												2				2				2			2		2			2	2
H1787	002	0	1	01	01	H1787_002_0	9	2								1	10			20	20	2	2				1	01	150.00	150.00			2	2	1	1	2	2	32	3		1			010111												2				2				2			2		2			2	2
H1799	001	0	1	01	01	H1799_001_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			111111	Other transportation could include a sedan, van, taxi, wheelchair lift-equipped vehicle, stretcher van services, or rideshare.											2				2				2			2		2			1	2
H1799	002	0	1	01	01	H1799_002_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			111111	Other transportation could include a sedan, van, taxi, wheelchair lift-equipped vehicle, stretcher van services, or rideshare.											2				2				2			2		2			1	2
H1822	001	0	1	01	01	H1822_001_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	54	3		1			011010												2				2				2			2		2			2	2
H1822	002	0	1	01	01	H1822_002_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	56	3		1			011011												2				2				2			2		2			2	2
H1822	003	0	1	01	01	H1822_003_0	10	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	56	3		1			011011												2				2				2			2		2			2	2
H1822	004	0	1	01	01	H1822_004_0	6	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	8	3		1			011010												2				2				2			2		2			2	2
H1822	005	0	1	02	01	H1822_005_0	6	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	56	3		1			011011												2				2				2			2		2			2	2
H1822	006	0	1	01	01	H1822_006_0	9	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011010												2				2				2			2		2			2	2
H1822	801	0	1	01	01	H1822_801_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1822	802	0	1	01	01	H1822_802_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1846	004	0	1	04	01	H1846_004_0	8	2								2							2				1	11	250.00	250.00	300.00	300.00	2	1	2																																							
H1846	005	0	1	04	01	H1846_005_0	8	2								2							2				1	11	275.00	275.00	325.00	325.00	2	1	2																																							
H1846	006	0	1	04	01	H1846_006_0	8	2								2							2				1	11	250.00	250.00	300.00	300.00	2	1	2																																							
H1846	007	0	1	04	01	H1846_007_0	8	2								2							2				1	11	250.00	250.00	300.00	300.00	2	1	2																																							
H1846	801	0	1	04	01	H1846_801_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1846	803	0	1	04	01	H1846_803_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1846	804	0	1	04	01	H1846_804_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1846	805	0	1	04	01	H1846_805_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1848	001	0	1	04	01	H1848_001_0	19	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H1848	002	0	1	04	01	H1848_002_0	19	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H1848	003	0	1	04	01	H1848_003_0	18	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H1862	001	0	1	01	01	H1862_001_0	18	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H1889	002	1	1	04	01	H1889_002_1	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	72	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H1889	002	2	1	04	01	H1889_002_2	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	72	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H1889	005	0	1	04	01	H1889_005_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H1889	006	0	1	04	01	H1889_006_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H1889	007	0	1	04	01	H1889_007_0	13	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H1889	008	0	1	04	01	H1889_008_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H1889	009	0	1	04	01	H1889_009_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H1889	010	0	1	04	01	H1889_010_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	72	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H1889	011	0	1	04	01	H1889_011_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H1889	012	0	1	04	01	H1889_012_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H1889	013	0	1	04	01	H1889_013_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H1889	014	0	1	04	01	H1889_014_0	6	2								2							2				1	11	155.00	155.00	155.00	155.00	2	1	2																																							
H1889	015	0	1	04	01	H1889_015_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H1889	016	0	1	04	01	H1889_016_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H1889	017	0	1	04	01	H1889_017_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H1889	018	0	1	04	01	H1889_018_0	4	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H1889	019	0	1	04	01	H1889_019_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H1889	020	0	1	04	01	H1889_020_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H1889	021	0	1	04	01	H1889_021_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H1889	022	0	1	04	01	H1889_022_0	4	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	12	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H1889	023	0	1	04	01	H1889_023_0	6	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	2																																							
H1894	002	0	1	01	01	H1894_002_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H1894	008	0	1	01	01	H1894_008_0	7	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H1904	001	0	1	20	08	H1904_001_0	1																																																																			
H1904	002	0	1	20	08	H1904_002_0	1																																																																			
H1914	001	0	1	04	01	H1914_001_0	6	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H1914	002	0	1	04	01	H1914_002_0	18	2								2							2				1	11	240.00	240.00	240.00	240.00	2	1	2																																							
H1914	006	0	1	04	01	H1914_006_0	19	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H1917	001	0	1	20	08	H1917_001_0	1																																																																			
H1917	002	0	1	20	08	H1917_002_0	1																																																																			
H1944	001	0	1	02	01	H1944_001_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H1944	004	0	1	02	01	H1944_004_0	8	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H1944	005	0	1	02	01	H1944_005_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H1944	006	0	1	02	01	H1944_006_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H1944	009	0	1	02	01	H1944_009_0	6	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	2																																							
H1944	010	0	1	02	01	H1944_010_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H1944	011	0	1	02	01	H1944_011_0	6	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H1944	014	0	1	02	01	H1944_014_0	7	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H1944	015	0	1	02	01	H1944_015_0	4	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H1944	016	0	1	02	01	H1944_016_0	6	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H1944	017	0	1	02	01	H1944_017_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H1944	018	0	1	02	01	H1944_018_0	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H1944	024	0	1	02	01	H1944_024_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H1944	030	0	1	02	01	H1944_030_0	4	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H1944	031	0	1	02	01	H1944_031_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H1944	032	0	1	02	01	H1944_032_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H1944	033	0	1	02	01	H1944_033_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H1944	034	0	1	02	01	H1944_034_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H1944	035	0	1	02	01	H1944_035_0	6	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	2																																							
H1944	805	0	1	01	01	H1944_805_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1944	806	0	1	01	01	H1944_806_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1944	807	0	1	01	01	H1944_807_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1947	001	0	1	01	01	H1947_001_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	156	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H1947	003	0	1	01	01	H1947_003_0	6	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	120	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H1951	013	0	1	01	01	H1951_013_0	7	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H1951	024	0	1	01	01	H1951_024_0	7	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H1951	028	0	1	01	01	H1951_028_0	7	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H1951	032	0	1	01	01	H1951_032_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	1				1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H1951	038	0	1	01	01	H1951_038_0	7	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H1951	039	0	1	01	01	H1951_039_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H1951	041	0	1	01	01	H1951_041_0	7	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	1				1			100010	Plan's transport provider to approved locations by means of car, van, or wheelchair access vehicle that provide members access to health benefits. This benefit is not to exceed 100 miles per trip.											2				2				2			2		1	0.00	0.00	1	2
H1951	044	0	1	01	01	H1951_044_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	2	24	3		1			101010	Car, Wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H1951	047	1	1	01	01	H1951_047_1	7	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H1951	047	2	1	01	01	H1951_047_2	7	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H1951	048	1	1	01	01	H1951_048_1	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H1951	048	2	1	01	01	H1951_048_2	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H1951	049	1	1	01	01	H1951_049_1	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H1951	049	2	1	01	01	H1951_049_2	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H1951	049	3	1	01	01	H1951_049_3	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H1951	051	0	1	01	01	H1951_051_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H1951	052	0	1	01	01	H1951_052_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	2	2																																							
H1951	053	0	1	01	01	H1951_053_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H1951	054	0	1	01	01	H1951_054_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H1951	055	0	1	01	01	H1951_055_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H1951	056	0	1	01	01	H1951_056_0	6	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	2	60	3		1			100010	Services arranged by the plan's transport provider to approved locations by means of wheelchair access vehicle. This benefit is not to exceed 75 miles per trip.											2				2				2			2		1	0.00	0.00	1	2
H1951	057	0	1	01	01	H1951_057_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	1				1			100010	plan's transportation provider to approved locations by means of wheelchair access vehicle that provide members access to health benefits. This benefit is not to exceed 100 miles per trip.											2				2				2			2		1	0.00	0.00	1	2
H1951	801	0	1	01	01	H1951_801_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1951	804	0	1	01	01	H1951_804_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1951	807	0	1	01	01	H1951_807_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1951	808	0	1	01	01	H1951_808_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1961	003	0	1	02	01	H1961_003_0	4	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	36	3		1			100010	Mode of transportation includes cars and vans as provided by the contracted transportation vendor.											2				2				2			2		1	0.00	0.00	2	2
H1961	014	1	1	02	01	H1961_014_1	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H1961	014	2	1	02	01	H1961_014_2	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H1961	014	3	1	02	01	H1961_014_3	4	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H1961	014	4	1	02	01	H1961_014_4	5	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H1961	017	0	1	02	01	H1961_017_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H1961	019	0	1	02	01	H1961_019_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			100010	Mode of transportation includes cars and vans as provided by the contracted transportation vendor.											2				2				2			2		1	0.00	0.00	2	2
H1961	020	0	1	02	01	H1961_020_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H1961	801	0	1	02	01	H1961_801_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1961	802	0	1	02	01	H1961_802_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1961	803	0	1	01	01	H1961_803_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1961	804	0	1	01	01	H1961_804_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H1969	002	0	1	01	01	H1969_002_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H1969	006	0	1	01	01	H1969_006_0	7	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	2																																							
H1969	007	3	1	01	01	H1969_007_3	8	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H1969	007	4	1	01	01	H1969_007_4	8	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H1977	001	0	1	48	05	H1977_001_0	4	2								2							2				2							2	1	2											2	1				2			010111		2				2				2			2		2			1	2
H1980	001	0	1	20	08	H1980_001_0	1																																																																			
H1980	002	0	1	20	08	H1980_002_0	1																																																																			
H1993	001	0	1	01	01	H1993_001_0	10	2								1	10			20	20	1	2				1	01	150.00	150.00			1	1	1	2											2	2	52	3		1			000011		2				2				2			2		2			1	1
H1993	007	0	1	01	01	H1993_007_0	12	2								1	10			20	20	1	2				1	01	100.00	100.00			1	1	1	2											2	1				1			000011		2				2				2			2		2			1	1
H1993	008	0	1	01	01	H1993_008_0	11	2								1	10			20	20	1	2				1	01	200.00	200.00			1	1	1	2											2	1				1			000011		2				2				2			2		2			1	1
H1993	010	0	1	01	01	H1993_010_0	13	2								1	10			20	20	1	2				1	01	100.00	100.00			1	1	1	2											2	2	52	3		1			000011		2				2				2			2		2			1	1
H1994	001	0	1	01	01	H1994_001_0	11	2								2							2				1	11	280.00	280.00	280.00	280.00	2	1	2																																							
H1994	002	0	1	01	01	H1994_002_0	13	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H1994	003	0	1	01	01	H1994_003_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H1994	004	0	1	01	01	H1994_004_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H1994	007	0	1	01	01	H1994_007_0	12	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	24	3		1			001011												2				2				2			2		2			2	2
H1994	008	0	1	01	01	H1994_008_0	10	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	2																																							
H1994	012	0	1	01	01	H1994_012_0	8	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	60	3		1			001011												2				2				2			2		2			1	1
H1994	013	0	1	01	01	H1994_013_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H1994	014	0	1	01	01	H1994_014_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H1994	015	0	1	01	01	H1994_015_0	9	2								1	11	30	30	30	30	2	2				2							1	1	1	2	1				1			001011												2				2				2			2		2			1	2
H1994	016	0	1	01	01	H1994_016_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H1994	017	0	1	01	01	H1994_017_0	8	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H1994	021	0	1	01	01	H1994_021_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	60	3		1			001011												2				2				2			2		2			1	1
H1994	022	0	1	01	01	H1994_022_0	8	2								2							2				1	11	280.00	280.00	280.00	280.00	2	1	2																																							
H1994	023	0	1	01	01	H1994_023_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H1994	024	0	1	01	01	H1994_024_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H1994	025	0	1	01	01	H1994_025_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	24	3		1			001011												2				2				2			2		2			1	2
H1994	027	0	1	01	01	H1994_027_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	24	3		1			010011												2				2				2			2		2			2	2
H1994	028	0	1	01	01	H1994_028_0	7	2								1	11	30	30	30	30	2	2				2							1	1	1	2	1				1			001011												2				2				2			2		2			1	2
H1994	029	0	1	01	01	H1994_029_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	24	3		1			001011												2				2				2			2		2			2	2
H1994	030	0	1	01	01	H1994_030_0	8	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	24	3		1			001011												2				2				2			2		2			2	2
H1994	031	0	1	01	01	H1994_031_0	8	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	24	3		1			001011												2				2				2			2		2			2	2
H1994	801	0	1	01	01	H1994_801_0	2	2								1	11	20	20	20	20	2	2				2							2	2																																							
H1994	802	0	1	01	01	H1994_802_0	2	2								1	11	20	20	20	20	2	2				2							2	2																																							
H1994	803	0	1	01	01	H1994_803_0	2	2								1	11	20	20	20	20	2	2				2							2	2																																							
H1997	002	0	1	01	01	H1997_002_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H1997	008	0	1	01	01	H1997_008_0	6	2								2							2				1	11	220.00	220.00	220.00	220.00	2	1	2																																							
H1997	012	1	1	01	01	H1997_012_1	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H1997	012	2	1	01	01	H1997_012_2	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H2001	001	0	1	04	01	H2001_001_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2001	010	0	1	04	01	H2001_010_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2001	017	0	1	04	01	H2001_017_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2001	018	0	1	04	01	H2001_018_0	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2001	019	0	1	04	01	H2001_019_0	6	2								2							2				1	11	230.00	230.00	230.00	230.00	2	1	2																																							
H2001	021	0	1	04	01	H2001_021_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2001	023	0	1	04	01	H2001_023_0	6	2								2							2				1	11	235.00	235.00	235.00	235.00	2	1	2																																							
H2001	816	0	1	04	01	H2001_816_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	817	0	1	04	01	H2001_817_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	818	0	1	04	01	H2001_818_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	819	0	2	04	01	H2001_819_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	820	0	2	04	01	H2001_820_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	821	0	2	04	01	H2001_821_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	822	0	1	04	01	H2001_822_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	823	0	1	04	01	H2001_823_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	824	0	1	04	01	H2001_824_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	825	0	1	04	01	H2001_825_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	826	0	1	04	01	H2001_826_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	827	0	1	04	01	H2001_827_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	828	0	1	04	01	H2001_828_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	829	0	1	04	01	H2001_829_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	830	0	1	04	01	H2001_830_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	831	0	1	04	01	H2001_831_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	832	0	2	04	01	H2001_832_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	833	0	2	04	01	H2001_833_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	834	0	2	04	01	H2001_834_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	835	0	1	04	01	H2001_835_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	836	0	1	04	01	H2001_836_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	837	0	1	04	01	H2001_837_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	838	0	1	04	01	H2001_838_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	839	0	2	04	01	H2001_839_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	840	0	1	04	01	H2001_840_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	841	0	1	04	01	H2001_841_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	842	0	1	04	01	H2001_842_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	843	0	1	04	01	H2001_843_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	844	0	1	04	01	H2001_844_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	845	0	1	04	01	H2001_845_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	846	0	1	04	01	H2001_846_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	847	0	1	04	01	H2001_847_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	848	0	1	04	01	H2001_848_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	849	0	1	04	01	H2001_849_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	850	0	1	04	01	H2001_850_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	851	0	1	04	01	H2001_851_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	852	0	1	04	01	H2001_852_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	853	0	1	04	01	H2001_853_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	854	0	1	04	01	H2001_854_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	855	0	1	04	01	H2001_855_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	856	0	1	04	01	H2001_856_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	857	0	1	04	01	H2001_857_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	858	0	1	04	01	H2001_858_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	859	0	1	04	01	H2001_859_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	860	0	1	04	01	H2001_860_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	861	0	1	04	01	H2001_861_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	862	0	1	04	01	H2001_862_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	863	0	1	04	01	H2001_863_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	864	0	1	04	01	H2001_864_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	865	0	1	04	01	H2001_865_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	866	0	1	04	01	H2001_866_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	867	0	1	04	01	H2001_867_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	868	0	1	04	01	H2001_868_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	869	0	1	04	01	H2001_869_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	870	0	1	04	01	H2001_870_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	871	0	1	04	01	H2001_871_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	872	0	1	04	01	H2001_872_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	873	0	1	04	01	H2001_873_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	874	0	1	04	01	H2001_874_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	875	0	1	04	01	H2001_875_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	876	0	1	04	01	H2001_876_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	877	0	1	04	01	H2001_877_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	878	0	1	04	01	H2001_878_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	879	0	1	04	01	H2001_879_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	880	0	1	04	01	H2001_880_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	881	0	1	04	01	H2001_881_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	882	0	1	04	01	H2001_882_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	883	0	1	04	01	H2001_883_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2001	884	0	1	04	01	H2001_884_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2029	001	0	1	04	01	H2029_001_0	12	2								1	10			20	20	2	2				1	01	100.00	100.00			2	1	1	1	2	2	24	3		1			100010	Services arranged by the plan's transportation provider to approved locations by means of car, van, or wheelchair access vehicle that provide members access to health benefits.											2				2				2			2		1	0.00	0.00	1	2
H2029	801	0	1	04	01	H2029_801_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2029	802	0	1	04	01	H2029_802_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2029	805	0	2	04	01	H2029_805_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2029	806	0	2	04	01	H2029_806_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2029	809	0	1	04	01	H2029_809_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2029	810	0	1	04	01	H2029_810_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2029	811	0	1	04	01	H2029_811_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2029	812	0	1	04	01	H2029_812_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2029	815	0	1	04	01	H2029_815_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2029	816	0	1	04	01	H2029_816_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2029	821	0	1	04	01	H2029_821_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2029	822	0	1	04	01	H2029_822_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2032	001	0	1	04	01	H2032_001_0	16	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H2032	002	0	1	04	01	H2032_002_0	16	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H2032	003	0	1	04	01	H2032_003_0	17	2								2							2				1	11	75.00	75.00	75.00	75.00	2	1	2																																							
H2032	801	0	1	04	01	H2032_801_0	1	2								1	11	20	20	20	20	2	2				2							2	2																																							
H2032	802	0	1	04	01	H2032_802_0	1	2								1	11	20	20	20	20	2	2				2							2	2																																							
H2032	803	0	1	04	01	H2032_803_0	1	2								1	11	20	20	20	20	2	2				2							2	2																																							
H2032	804	0	1	04	01	H2032_804_0	1	2								1	11	20	20	20	20	2	2				2							2	2																																							
H2034	001	0	1	01	01	H2034_001_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				2			010111												2				2				2			2		2			1	2
H2056	001	0	1	02	01	H2056_001_0	7	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	2																																							
H2056	002	0	1	02	01	H2056_002_0	7	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	2																																							
H2056	003	0	1	02	01	H2056_003_0	7	2								2							2				1	11	285.00	285.00	285.00	285.00	2	1	2																																							
H2056	004	0	1	02	01	H2056_004_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2056	005	0	1	02	01	H2056_005_0	7	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	2																																							
H2056	010	0	1	02	01	H2056_010_0	7	2								2							2				1	11	285.00	285.00	285.00	285.00	2	1	2																																							
H2056	011	0	1	02	01	H2056_011_0	8	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2056	012	0	1	02	01	H2056_012_0	7	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	2																																							
H2056	013	0	1	02	01	H2056_013_0	7	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	2																																							
H2056	801	0	1	01	01	H2056_801_0	8	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2056	802	0	1	01	01	H2056_802_0	8	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2064	001	0	1	20	08	H2064_001_0	1																																																																			
H2064	002	0	1	20	08	H2064_002_0	1																																																																			
H2085	001	0	1	20	08	H2085_001_0	1																																																																			
H2085	002	0	1	20	08	H2085_002_0	1																																																																			
H2108	022	0	1	01	01	H2108_022_0	9	2								1	10			20	20	2	2				1	01	220.00	220.00			2	1	1	1	2	2	10	3		1			011011												2				2				2			2		2			1	2
H2108	029	0	1	01	01	H2108_029_0	7	2								1	10			20	20	2	2				1	01	245.00	245.00			2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			1	2
H2108	030	0	1	01	01	H2108_030_0	7	2								1	10			20	20	2	2				1	01	215.00	215.00			2	1	1	1	2	2	10	3		1			011011												2				2				2			2		2			1	2
H2108	036	0	1	01	01	H2108_036_0	9	2								1	10			20	20	2	2				1	01	220.00	220.00			2	1	1	1	2	2	10	3		1			011011												2				2				2			2		2			1	2
H2108	039	0	1	01	01	H2108_039_0	8	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	40	3		1			011011												2				2				2			2		2			1	2
H2108	040	0	1	01	01	H2108_040_0	7	2								1	10			20	20	2	2				1	01	205.00	205.00			2	1	1	1	2	2	10	3		1			011011												2				2				2			2		2			1	2
H2108	041	0	1	01	01	H2108_041_0	8	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	50	3		1			011011												2				2				2			2		2			1	2
H2108	042	1	1	01	01	H2108_042_1	7	2								1	10			20	20	2	2				1	01	205.00	205.00			2	1	2																																							
H2108	042	2	1	01	01	H2108_042_2	8	2								1	10			20	20	2	2				1	01	205.00	205.00			2	1	2																																							
H2108	043	1	1	01	01	H2108_043_1	8	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	30	3		1			011011												2				2				2			2		2			1	2
H2108	043	2	1	01	01	H2108_043_2	8	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			011011												2				2				2			2		2			1	2
H2108	801	0	1	01	01	H2108_801_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2109	001	0	1	20	08	H2109_001_0	1																																																																			
H2109	002	0	1	20	08	H2109_002_0	1																																																																			
H2117	001	0	1	04	01	H2117_001_0	18	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H2117	002	0	1	04	01	H2117_002_0	18	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H2117	003	0	1	04	01	H2117_003_0	17	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H2128	002	0	1	04	01	H2128_002_0	18	2								2							2				1	11	320.00	320.00	320.00	320.00	2	1	2																																							
H2128	004	0	1	04	01	H2128_004_0	18	2								2							2				1	11	280.00	280.00	280.00	280.00	2	1	2																																							
H2128	005	0	1	04	01	H2128_005_0	18	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H2134	001	0	1	01	01	H2134_001_0	18	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H2134	003	0	1	01	01	H2134_003_0	18	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H2134	005	0	1	01	01	H2134_005_0	18	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2162	001	0	1	01	01	H2162_001_0	18	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H2168	001	0	1	01	01	H2168_001_0	11	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			011010												2				2				2			2		2			1	2
H2168	002	0	1	01	01	H2168_002_0	10	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2168	003	0	1	01	01	H2168_003_0	11	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			010010												2				2				2			2		2			1	2
H2168	004	0	1	01	01	H2168_004_0	9	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H2171	001	0	1	01	01	H2171_001_0	11	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	2																																							
H2171	003	0	1	01	01	H2171_003_0	11	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	2																																							
H2171	801	0	1	01	01	H2171_801_0	4	2								1	11	20	20	20	20	2	2				2							2	2																																							
H2171	802	0	1	01	01	H2171_802_0	4	2								1	11	20	20	20	20	2	2				2							2	2																																							
H2171	803	0	1	01	01	H2171_803_0	4	2								1	11	20	20	20	20	2	2				2							2	2																																							
H2171	804	0	1	01	01	H2171_804_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H2172	001	0	1	02	01	H2172_001_0	9	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	24	3		1			011011												2				2				2			2		1	0.00	0.00	2	2
H2172	002	0	1	02	01	H2172_002_0	10	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	24	3		1			011011												2				2				2			2		1	0.00	0.00	2	2
H2172	003	0	1	02	01	H2172_003_0	9	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	24	3		1			011011												2				2				2			2		1	0.00	0.00	2	2
H2172	004	0	1	02	01	H2172_004_0	10	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	24	3		1			011011												2				2				2			2		1	0.00	0.00	2	2
H2172	005	0	1	01	01	H2172_005_0	6	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	24	3		1			011011												2				2				2			2		1	0.00	0.00	2	2
H2172	006	0	1	01	01	H2172_006_0	9	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2172	008	0	1	02	01	H2172_008_0	9	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	24	3		1			011011												2				2				2			2		1	0.00	0.00	2	2
H2172	009	0	1	02	01	H2172_009_0	9	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	24	3		1			011011												2				2				2			2		1	0.00	0.00	2	2
H2172	010	0	1	02	01	H2172_010_0	9	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	24	3		1			011011												2				2				2			2		1	0.00	0.00	2	2
H2172	011	0	1	01	01	H2172_011_0	9	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2172	012	0	1	02	01	H2172_012_0	9	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2172	013	0	1	02	01	H2172_013_0	9	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	24	3		1			011011												2				2				2			2		1	0.00	0.00	2	2
H2172	801	0	1	01	01	H2172_801_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2172	803	0	1	01	01	H2172_803_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2172	804	0	2	01	01	H2172_804_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2172	805	0	1	01	01	H2172_805_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2174	001	0	1	01	01	H2174_001_0	19	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H2185	001	0	1	01	01	H2185_001_0	11	2								1	11	20	20	20	20	2	2				2							1	1	2											2	2	24	3		1			011011		2				2				2			2		2			2	2
H2185	003	0	1	02	01	H2185_003_0	8	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2218	001	0	1	20	08	H2218_001_0	1																																																																			
H2218	002	0	1	20	08	H2218_002_0	1																																																																			
H2219	001	0	1	20	08	H2219_001_0	1																																																																			
H2219	002	0	1	20	08	H2219_002_0	1																																																																			
H2220	001	0	1	20	08	H2220_001_0	1																																																																			
H2220	002	0	1	20	08	H2220_002_0	1																																																																			
H2221	001	0	1	20	08	H2221_001_0	1																																																																			
H2221	002	0	1	20	08	H2221_002_0	1																																																																			
H2222	002	0	1	20	08	H2222_002_0	2																																																																			
H2222	003	0	1	20	08	H2222_003_0	2																																																																			
H2223	001	0	1	20	08	H2223_001_0	1																																																																			
H2223	002	0	1	20	08	H2223_002_0	1																																																																			
H2224	001	0	1	01	01	H2224_001_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	80	3		1			111111	Other transportation could include a sedan, van, taxi, wheelchair lift-equipped vehicle, stretcher van services, or rideshare.											2				2				2			2		2			1	2
H2224	003	0	1	01	01	H2224_003_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	80	3		1			111111	Other transportation could include a sedan, van, taxi, wheelchair lift-equipped vehicle, stretcher van services, or rideshare.											2				2				2			2		2			1	2
H2225	001	0	1	01	01	H2225_001_0	9	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2226	001	0	1	01	01	H2226_001_0	3	2								2							2				1	11	0.00	0.00	0.00	0.00	2	1	2																																							
H2226	003	0	1	01	01	H2226_003_0	3	2								2							2				1	11	0.00	0.00	0.00	0.00	2	1	1	1	2	1				1			000010												2				2				2			2		1	0.00	0.00	2	2
H2230	002	0	1	04	01	H2230_002_0	6	2								2							2				1	11	100.00	100.00	100.00	100.00	1	1	2																																							
H2230	017	0	1	04	01	H2230_017_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	1	1	2																																							
H2230	018	1	1	04	01	H2230_018_1	6	2								2							2				1	11	225.00	225.00	225.00	225.00	1	1	2																																							
H2230	018	2	1	04	01	H2230_018_2	6	2								2							2				1	11	225.00	225.00	225.00	225.00	1	1	2																																							
H2230	801	0	1	04	01	H2230_801_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2230	809	0	1	04	01	H2230_809_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2230	813	0	1	04	01	H2230_813_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2235	001	0	1	01	01	H2235_001_0	15	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	16	3		1			100000	See Note Below											2				2				2			2		2			2	2
H2235	002	0	1	01	01	H2235_002_0	15	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H2235	003	0	1	01	01	H2235_003_0	15	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	24	3		1			100000	See note below											2				2				2			2		2			2	2
H2235	005	0	1	01	01	H2235_005_0	15	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H2235	006	0	1	02	01	H2235_006_0	15	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	2																																							
H2237	001	0	1	01	01	H2237_001_0	7	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	2	50	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H2237	007	0	1	01	01	H2237_007_0	7	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H2246	018	0	1	04	01	H2246_018_0	11	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	2																																							
H2246	019	0	1	04	01	H2246_019_0	7	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	1	1	2	2	24	3		1			001011												2				2				2			2		2			1	2
H2246	020	0	1	04	01	H2246_020_0	6	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	24	3		1			001011												2				2				2			2		2			1	2
H2246	026	0	1	04	01	H2246_026_0	9	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	24	3		1			001011												2				2				2			2		2			1	2
H2246	032	0	1	04	01	H2246_032_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	24	3		1			001011												2				2				2			2		2			2	2
H2247	001	0	1	02	01	H2247_001_0	3	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H2247	003	0	1	02	01	H2247_003_0	4	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H2256	001	1	1	01	01	H2256_001_1	7	2								2							2				1	11	90.00	90.00	90.00	90.00	2	1	1	1	2	1				1			011011												2				2				2			2		1	40.00	40.00	2	2
H2256	001	2	1	01	01	H2256_001_2	7	2								2							2				1	11	90.00	90.00	90.00	90.00	2	1	1	1	2	1				1			011011												2				2				2			2		1	40.00	40.00	2	2
H2256	001	6	1	01	01	H2256_001_6	7	2								2							2				1	11	90.00	90.00	90.00	90.00	2	1	1	1	2	1				1			011011												2				2				2			2		1	40.00	40.00	2	2
H2256	015	1	1	01	01	H2256_015_1	7	2								2							2				1	11	125.00	125.00	125.00	125.00	2	1	1	1	2	1				1			011011												2				2				2			2		1	40.00	40.00	2	2
H2256	015	2	1	01	01	H2256_015_2	7	2								2							2				1	11	125.00	125.00	125.00	125.00	2	1	1	1	2	1				1			011011												2				2				2			2		1	40.00	40.00	2	2
H2256	015	6	1	01	01	H2256_015_6	7	2								2							2				1	11	125.00	125.00	125.00	125.00	2	1	1	1	2	1				1			011011												2				2				2			2		1	40.00	40.00	2	2
H2256	016	1	1	01	01	H2256_016_1	5	2								2							2				1	11	125.00	125.00	125.00	125.00	2	1	1	1	2	1				1			011011												2				2				2			2		1	40.00	40.00	2	2
H2256	016	2	1	01	01	H2256_016_2	5	2								2							2				1	11	125.00	125.00	125.00	125.00	2	1	1	1	2	1				1			011011												2				2				2			2		1	40.00	40.00	2	2
H2256	018	1	1	01	01	H2256_018_1	7	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	1				1			011011												2				2				2			2		1	40.00	40.00	2	2
H2256	018	7	1	01	01	H2256_018_7	7	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	1				1			011011												2				2				2			2		1	40.00	40.00	2	2
H2256	018	8	1	01	01	H2256_018_8	6	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	1				1			011011												2				2				2			2		1	40.00	40.00	2	2
H2256	019	1	1	01	01	H2256_019_1	5	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	1				1			011011												2				2				2			2		1	40.00	40.00	2	2
H2256	019	7	1	01	01	H2256_019_7	5	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	1				1			011011												2				2				2			2		1	40.00	40.00	2	2
H2256	026	1	1	01	01	H2256_026_1	7	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	1	1	2	1				1			011011												2				2				2			2		1	40.00	40.00	2	2
H2256	026	2	1	01	01	H2256_026_2	7	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	1	1	2	1				1			011011												2				2				2			2		1	40.00	40.00	2	2
H2256	026	3	1	01	01	H2256_026_3	7	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	1	1	2	1				1			011011												2				2				2			2		1	40.00	40.00	2	2
H2256	028	0	1	01	01	H2256_028_0	5	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	1	1	2	1				1			011011												2				2				2			2		1	40.00	40.00	2	2
H2256	033	0	1	01	01	H2256_033_0	7	2								2							2				1	11	125.00	125.00	125.00	125.00	2	1	1	1	2	1				1			011011												2				2				2			2		1	40.00	40.00	2	2
H2256	034	0	1	01	01	H2256_034_0	8	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	1				1			011011												2				2				2			2		1	40.00	40.00	2	2
H2256	036	0	1	01	01	H2256_036_0	8	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	1	1	2	1				1			011011												2				2				2			2		1	40.00	40.00	2	2
H2256	039	0	1	01	01	H2256_039_0	5	2								2							2				1	11	125.00	125.00	125.00	125.00	2	1	1	1	2	1				1			011011												2				2				2			2		1	40.00	40.00	2	2
H2256	040	0	1	01	01	H2256_040_0	5	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	1				1			011011												2				2				2			2		1	40.00	40.00	2	2
H2256	041	0	1	01	01	H2256_041_0	5	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	1	1	2	1				1			011011												2				2				2			2		1	40.00	40.00	2	2
H2256	042	0	1	01	01	H2256_042_0	5	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	1	1	2	1				1			011011												2				2				2			2		1	40.00	40.00	2	2
H2256	046	0	1	01	01	H2256_046_0	8	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	1	1	2	1				1			011011												2				2				2			2		1	40.00	40.00	2	2
H2256	801	0	1	01	01	H2256_801_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2256	802	0	1	01	01	H2256_802_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2256	803	0	1	01	01	H2256_803_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2256	808	0	1	01	01	H2256_808_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2261	005	0	1	01	01	H2261_005_0	6	2								2							2				1	11	50.00	50.00	50.00	50.00	1	1	2																																							
H2261	022	1	1	01	01	H2261_022_1	6	2								2							2				1	11	150.00	150.00	150.00	150.00	1	1	2																																							
H2261	022	2	1	01	01	H2261_022_2	6	2								2							2				1	11	150.00	150.00	150.00	150.00	1	1	2																																							
H2261	023	1	1	02	01	H2261_023_1	6	2								2							2				1	11	100.00	100.00	100.00	100.00	1	1	2																																							
H2261	023	2	1	02	01	H2261_023_2	6	2								2							2				1	11	100.00	100.00	100.00	100.00	1	1	2																																							
H2261	024	0	1	01	01	H2261_024_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	1	1	2																																							
H2261	801	0	1	01	01	H2261_801_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2261	809	0	1	01	01	H2261_809_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2272	001	0	1	02	01	H2272_001_0	4	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H2292	001	0	1	04	01	H2292_001_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H2292	002	0	1	04	01	H2292_002_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	18	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H2292	003	0	1	04	01	H2292_003_0	5	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H2293	001	0	1	04	01	H2293_001_0	5	2								1	10			20	20	2	2				1	01	270.00	270.00			2	1	1	1	2	2	36	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H2293	002	0	1	04	01	H2293_002_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H2293	003	0	1	04	01	H2293_003_0	6	2								1	10			20	20	2	2				1	01	280.00	280.00			2	1	1	1	2	2	48	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H2293	004	0	1	04	01	H2293_004_0	6	2								1	10			20	20	2	2				1	01	270.00	270.00			2	1	1	1	2	2	36	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H2293	005	0	1	04	01	H2293_005_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H2293	006	0	1	04	01	H2293_006_0	5	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H2293	007	0	1	04	01	H2293_007_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H2293	008	0	1	04	01	H2293_008_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H2293	009	0	1	04	01	H2293_009_0	2	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H2293	010	0	1	04	01	H2293_010_0	4	2								1	10			20	20	2	2				1	01	265.00	265.00			2	1	2																																							
H2293	011	0	1	04	01	H2293_011_0	5	2								1	10			20	20	2	2				1	01	260.00	260.00			2	1	1	1	2	2	36	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H2293	013	0	1	04	01	H2293_013_0	8	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	2																																							
H2293	014	0	1	04	01	H2293_014_0	8	2								2							2				1	11	280.00	280.00	280.00	280.00	2	1	2																																							
H2293	015	0	1	04	01	H2293_015_0	4	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H2293	016	0	1	04	01	H2293_016_0	8	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H2293	017	0	1	04	01	H2293_017_0	8	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2293	018	0	1	04	01	H2293_018_0	8	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H2293	019	0	1	04	01	H2293_019_0	8	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H2293	021	0	1	04	01	H2293_021_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H2293	022	0	1	04	01	H2293_022_0	6	2								1	10			20	20	2	2				1	01	270.00	270.00			2	1	1	1	2	2	36	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H2293	023	0	1	04	01	H2293_023_0	4	2								1	10			20	20	2	2				1	01	280.00	280.00			2	1	1	1	2	2	36	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H2318	001	0	1	20	08	H2318_001_0	1																																																																			
H2318	002	0	1	20	08	H2318_002_0	1																																																																			
H2320	022	1	1	02	01	H2320_022_1	6	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H2320	022	2	1	02	01	H2320_022_2	6	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H2320	022	3	1	02	01	H2320_022_3	6	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H2320	022	4	1	02	01	H2320_022_4	6	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H2320	022	5	1	02	01	H2320_022_5	6	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H2320	028	1	1	02	01	H2320_028_1	6	2								2							2				1	11	210.00	210.00	210.00	210.00	2	1	2																																							
H2320	028	2	1	02	01	H2320_028_2	6	2								2							2				1	11	210.00	210.00	210.00	210.00	2	1	2																																							
H2320	028	3	1	02	01	H2320_028_3	6	2								2							2				1	11	210.00	210.00	210.00	210.00	2	1	2																																							
H2320	028	4	1	02	01	H2320_028_4	6	2								2							2				1	11	210.00	210.00	210.00	210.00	2	1	2																																							
H2320	028	5	1	02	01	H2320_028_5	6	2								2							2				1	11	210.00	210.00	210.00	210.00	2	1	2																																							
H2320	029	1	1	02	01	H2320_029_1	6	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	2																																							
H2320	029	2	1	02	01	H2320_029_2	6	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	2																																							
H2320	029	3	1	02	01	H2320_029_3	6	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	2																																							
H2320	029	4	1	02	01	H2320_029_4	6	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	2																																							
H2320	029	5	1	02	01	H2320_029_5	6	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	2																																							
H2320	030	1	1	02	01	H2320_030_1	6	2								2							2				1	11	285.00	285.00	285.00	285.00	2	1	1	2											2	2	30	3		1			001011		2				2				2			2		2			2	2
H2320	030	2	1	02	01	H2320_030_2	6	2								2							2				1	11	285.00	285.00	285.00	285.00	2	1	1	2											2	2	30	3		1			001011		2				2				2			2		2			2	2
H2320	802	0	1	02	01	H2320_802_0	6	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2320	803	0	1	02	01	H2320_803_0	6	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2320	804	0	1	01	01	H2320_804_0	6	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2320	805	0	1	01	01	H2320_805_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2320	810	0	1	01	01	H2320_810_0	6	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2320	811	0	1	01	01	H2320_811_0	6	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2320	812	0	1	02	01	H2320_812_0	6	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2320	813	0	1	02	01	H2320_813_0	6	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2320	814	0	1	01	01	H2320_814_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2322	008	0	1	04	01	H2322_008_0	17	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	12	3		1			111010	Wheelchair vehicle and bariatric wheelchair vehicle											2				2				2			2		2			2	2
H2322	011	0	1	04	01	H2322_011_0	19	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H2322	801	0	1	04	01	H2322_801_0	10	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2322	803	0	1	04	01	H2322_803_0	10	2								1	11	20	20	20	20	2	2				2							2	2																																							
H2334	005	0	1	04	01	H2334_005_0	9	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	1	1	2	2	12	3		2			011011												2				2				2			2		2			2	2
H2354	015	0	1	01	01	H2354_015_0	16	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H2354	018	0	1	01	01	H2354_018_0	17	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	12	3		1			111010	Wheelchair vehicle and bariatric wheelchair vehicle.											2				2				2			2		2			2	2
H2354	019	0	1	01	01	H2354_019_0	15	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	12	3		1			111010	Wheelchair vehicle and bariatric wheelchair vehicle.											2				2				2			2		2			2	2
H2354	021	0	1	02	01	H2354_021_0	17	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	12	3		1			111010	Wheelchair vehicle and bariatric wheelchair vehicle.											2				2				2			2		2			2	2
H2354	025	0	1	01	01	H2354_025_0	17	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	12	3		1			111010	Wheelchair vehicle and Bariatric Wheelchair											2				2				2			2		2			2	2
H2354	028	0	1	01	01	H2354_028_0	18	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	1				1			111010	Wheelchair vehicle and bariatric wheelchair vehicle.											2				2				2			2		2			2	2
H2354	801	0	1	01	01	H2354_801_0	12	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2354	802	0	1	02	01	H2354_802_0	12	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2368	001	0	1	20	08	H2368_001_0	1																																																																			
H2368	002	0	1	20	08	H2368_002_0	1																																																																			
H2384	001	0	1	20	08	H2384_001_0	1																																																																			
H2384	002	0	1	20	08	H2384_002_0	1																																																																			
H2386	001	0	1	20	08	H2386_001_0	2																																																																			
H2386	002	0	1	20	08	H2386_002_0	2																																																																			
H2392	001	0	1	01	01	H2392_001_0	4	2								1	11	20	20	20	20	2	2				2							1	1	2											2	2	44	3		1			000011		2				2				2			2		1	0.00	0.00	2	2
H2392	003	0	1	01	01	H2392_003_0	6	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2400	001	0	1	01	01	H2400_001_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2400	002	0	1	01	01	H2400_002_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2406	008	0	1	04	01	H2406_008_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2406	009	0	1	04	01	H2406_009_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2406	010	0	1	04	01	H2406_010_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2406	011	0	1	04	01	H2406_011_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2406	012	0	1	04	01	H2406_012_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2406	013	0	1	04	01	H2406_013_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2406	014	0	1	04	01	H2406_014_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2406	015	0	1	04	01	H2406_015_0	5	2								2							2				1	11	215.00	215.00	215.00	215.00	2	1	2																																							
H2406	016	0	1	04	01	H2406_016_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2406	017	0	1	04	01	H2406_017_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2406	018	0	1	04	01	H2406_018_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2406	019	0	1	04	01	H2406_019_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2406	031	0	1	04	01	H2406_031_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H2406	032	0	1	04	01	H2406_032_0	5	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H2406	033	0	1	04	01	H2406_033_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H2406	034	0	1	04	01	H2406_034_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2406	035	0	1	04	01	H2406_035_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2406	036	0	1	04	01	H2406_036_0	5	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H2406	037	0	1	04	01	H2406_037_0	5	2								2							2				1	11	180.00	180.00	180.00	180.00	2	1	2																																							
H2406	038	0	1	04	01	H2406_038_0	5	2								2							2				1	11	160.00	160.00	160.00	160.00	2	1	2																																							
H2406	039	0	1	04	01	H2406_039_0	5	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H2406	040	0	1	04	01	H2406_040_0	6	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H2406	041	0	1	04	01	H2406_041_0	5	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H2406	042	0	1	04	01	H2406_042_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2406	043	0	1	04	01	H2406_043_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2406	044	0	1	04	01	H2406_044_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	12	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H2406	045	0	1	04	01	H2406_045_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H2406	046	0	1	04	01	H2406_046_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2406	047	0	1	04	01	H2406_047_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2406	048	0	1	04	01	H2406_048_0	5	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H2406	049	0	1	04	01	H2406_049_0	5	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	18	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H2406	050	0	1	04	01	H2406_050_0	3	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H2406	051	0	1	04	01	H2406_051_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H2406	052	0	1	04	01	H2406_052_0	3	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H2406	053	0	1	04	01	H2406_053_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2406	054	0	1	04	01	H2406_054_0	5	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H2406	055	0	1	04	01	H2406_055_0	5	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	2																																							
H2406	056	0	1	04	01	H2406_056_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2406	057	0	1	04	01	H2406_057_0	5	2								2							2				1	11	240.00	240.00	240.00	240.00	2	1	2																																							
H2406	058	0	1	04	01	H2406_058_0	5	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H2406	059	0	1	04	01	H2406_059_0	5	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H2406	060	0	1	04	01	H2406_060_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2406	061	0	1	04	01	H2406_061_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2406	062	0	1	04	01	H2406_062_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2406	063	0	1	04	01	H2406_063_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2406	064	0	1	04	01	H2406_064_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2406	065	0	1	04	01	H2406_065_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2406	066	0	1	04	01	H2406_066_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2406	067	0	1	04	01	H2406_067_0	5	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H2406	068	0	1	04	01	H2406_068_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2406	069	0	1	04	01	H2406_069_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2406	070	0	1	04	01	H2406_070_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2406	071	0	1	04	01	H2406_071_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2406	072	0	1	04	01	H2406_072_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2406	073	0	1	04	01	H2406_073_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2406	074	0	1	04	01	H2406_074_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2406	075	0	1	04	01	H2406_075_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2406	076	0	1	04	01	H2406_076_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2406	077	0	1	04	01	H2406_077_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2406	078	0	1	04	01	H2406_078_0	5	2								2							2				1	11	220.00	220.00	220.00	220.00	2	1	2																																							
H2406	079	0	1	04	01	H2406_079_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2406	080	0	1	04	01	H2406_080_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2406	081	0	1	04	01	H2406_081_0	6	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	2																																							
H2406	082	0	1	04	01	H2406_082_0	5	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	2																																							
H2406	083	0	1	04	01	H2406_083_0	5	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	2																																							
H2406	084	0	1	04	01	H2406_084_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2406	085	0	1	04	01	H2406_085_0	5	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	2																																							
H2406	086	0	1	04	01	H2406_086_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2406	087	0	1	04	01	H2406_087_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2406	088	0	1	04	01	H2406_088_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2406	089	0	1	04	01	H2406_089_0	5	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H2406	090	0	1	04	01	H2406_090_0	5	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H2406	091	0	1	04	01	H2406_091_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2406	092	0	1	04	01	H2406_092_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2406	093	0	1	04	01	H2406_093_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2406	094	0	1	04	01	H2406_094_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2406	095	0	1	04	01	H2406_095_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2406	096	0	1	04	01	H2406_096_0	5	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	2																																							
H2406	097	0	1	04	01	H2406_097_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2406	098	0	1	04	01	H2406_098_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2406	099	0	1	04	01	H2406_099_0	3	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H2406	100	0	1	04	01	H2406_100_0	5	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H2406	101	0	1	04	01	H2406_101_0	5	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H2406	102	0	1	04	01	H2406_102_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2406	103	0	1	04	01	H2406_103_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2406	104	0	1	04	01	H2406_104_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2406	105	0	1	04	01	H2406_105_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2406	106	0	1	04	01	H2406_106_0	5	2								2							2				1	11	210.00	210.00	210.00	210.00	2	1	2																																							
H2406	107	0	1	04	01	H2406_107_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2406	108	0	1	04	01	H2406_108_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2406	110	0	1	04	01	H2406_110_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2406	111	0	1	04	01	H2406_111_0	5	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H2406	112	0	1	04	01	H2406_112_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2406	113	0	1	04	01	H2406_113_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2406	114	0	1	04	01	H2406_114_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2406	115	0	1	04	01	H2406_115_0	5	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H2406	117	0	1	04	01	H2406_117_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2406	119	0	1	04	01	H2406_119_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2406	121	0	1	04	01	H2406_121_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H2406	122	0	1	04	01	H2406_122_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2406	123	0	1	04	01	H2406_123_0	5	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H2406	124	0	1	04	01	H2406_124_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2406	125	0	1	04	01	H2406_125_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2406	126	0	1	04	01	H2406_126_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2406	805	0	1	04	01	H2406_805_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2406	806	0	1	04	01	H2406_806_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2406	807	0	1	04	01	H2406_807_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2406	808	0	2	04	01	H2406_808_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2406	809	0	2	04	01	H2406_809_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2406	810	0	2	04	01	H2406_810_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2406	811	0	1	04	01	H2406_811_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2406	812	0	1	04	01	H2406_812_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2406	813	0	1	04	01	H2406_813_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2406	814	0	1	04	01	H2406_814_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2406	815	0	1	04	01	H2406_815_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2406	816	0	1	04	01	H2406_816_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2406	817	0	2	04	01	H2406_817_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2406	818	0	2	04	01	H2406_818_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2406	819	0	1	04	01	H2406_819_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2406	820	0	1	04	01	H2406_820_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2406	821	0	1	04	01	H2406_821_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2406	822	0	1	04	01	H2406_822_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2406	823	0	1	04	01	H2406_823_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2406	824	0	1	04	01	H2406_824_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2406	825	0	1	04	01	H2406_825_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2406	826	0	1	04	01	H2406_826_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2406	827	0	1	04	01	H2406_827_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2406	828	0	2	04	01	H2406_828_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2406	829	0	1	04	01	H2406_829_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2406	830	0	1	04	01	H2406_830_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2406	831	0	1	04	01	H2406_831_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2406	832	0	1	04	01	H2406_832_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2406	833	0	1	04	01	H2406_833_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2406	834	0	1	04	01	H2406_834_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2406	835	0	1	04	01	H2406_835_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2416	001	0	1	01	01	H2416_001_0	14	2								1	11	20	20	20	20	2	2				2							1	1	2											2	1				2			011111		2				2				2			2		2			2	2
H2417	001	0	1	01	01	H2417_001_0	11	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2419	001	0	1	01	01	H2419_001_0	9	2								1	11	20	20	20	20	2	2				2							2	2																																							
H2422	002	0	1	01	01	H2422_002_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				2			010000												2				2				2			2		2			2	2
H2425	001	0	1	01	01	H2425_001_0	8	2								1	11	20	20	20	20	2	2				2							2	1	1	2	1				2			110110	Any other authorized non-medical transportation such as a volunteer driver.											2				2				2			2		2			1	2
H2450	001	0	1	18	06	H2450_001_0	6	2								2							2				1	11	25.00	25.00	50.00	50.00	2	2	2																																							
H2450	002	0	1	18	06	H2450_002_0	5	2								2							2				1	11	0.00	0.00	50.00	50.00	2	2	2																																							
H2450	007	0	1	18	06	H2450_007_0	5	2								1	11	20	20	20	20	2	2				2							2	2																																							
H2450	016	0	1	18	06	H2450_016_0	6	2								2							2				1	11	25.00	25.00	50.00	50.00	2	2	2																																							
H2450	030	0	1	18	06	H2450_030_0	4	2								1	11	20	20	20	20	2	2				2							2	2																																							
H2450	032	0	1	18	06	H2450_032_0	5	2								2							2				1	11	25.00	25.00	50.00	50.00	2	2	2																																							
H2450	033	0	1	18	06	H2450_033_0	4	2								2							2				1	11	0.00	0.00	50.00	50.00	2	2	2																																							
H2450	034	0	1	18	06	H2450_034_0	4	2								2							2				1	11	50.00	50.00	100.00	100.00	2	2	2																																							
H2450	035	0	1	18	06	H2450_035_0	5	2								2							2				1	11	50.00	50.00	100.00	100.00	2	2	2																																							
H2450	036	0	1	18	06	H2450_036_0	4	2								2							2				1	11	0.00	0.00	50.00	50.00	2	2	2																																							
H2450	037	0	1	18	06	H2450_037_0	5	2								2							2				1	11	0.00	0.00	50.00	50.00	2	2	2																																							
H2450	038	0	1	18	06	H2450_038_0	4	2								2							2				1	11	50.00	50.00	100.00	100.00	2	2	2																																							
H2450	039	0	1	18	06	H2450_039_0	5	2								2							2				1	11	50.00	50.00	100.00	100.00	2	2	2																																							
H2450	040	0	1	18	06	H2450_040_0	5	2								2							2				1	11	0.00	0.00	50.00	50.00	2	2	2																																							
H2450	041	0	1	18	06	H2450_041_0	6	2								2							2				1	11	0.00	0.00	50.00	50.00	2	2	2																																							
H2450	042	0	1	18	06	H2450_042_0	4	2								2							2				1	11	0.00	0.00	50.00	50.00	2	2	2																																							
H2450	043	0	1	18	06	H2450_043_0	4	2								2							2				1	11	0.00	0.00	50.00	50.00	2	2	2																																							
H2450	044	0	1	18	06	H2450_044_0	4	2								2							2				1	11	250.00	250.00	400.00	400.00	2	2	2																																							
H2450	045	0	1	18	06	H2450_045_0	4	2								2							2				1	11	50.00	50.00	100.00	100.00	2	2	2																																							
H2450	046	0	1	18	06	H2450_046_0	4	2								2							2				1	11	50.00	50.00	100.00	100.00	2	2	2																																							
H2450	047	0	1	18	06	H2450_047_0	4	2								2							2				1	11	50.00	50.00	100.00	100.00	2	2	2																																							
H2450	048	0	1	18	06	H2450_048_0	4	2								2							2				1	11	0.00	0.00	50.00	50.00	2	2	2																																							
H2450	049	0	1	18	06	H2450_049_0	5	2								2							2				1	11	250.00	250.00	400.00	400.00	2	2	2																																							
H2450	050	0	1	18	06	H2450_050_0	4	2								2							2				1	11	250.00	250.00	400.00	400.00	2	2	2																																							
H2450	801	0	1	18	06	H2450_801_0	4																																																																			
H2456	002	0	1	01	01	H2456_002_0	8	2								1	11	20	20	20	20	2	2				2							2	1	1	2	2	3	6	Per week to participating fitness center, covered evidence-based health education classes.	2			010111												2				2				2			2		2			2	2
H2458	002	0	1	01	01	H2458_002_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	1	6	Enhanced transportation benefit is limited to round trips to an approved fitness center associated with the physical fitness benefit. Periodicity is limited to one round trip per day.	2			010000												2				2				2			2		2			1	2
H2459	001	0	1	02	01	H2459_001_0	10	2								2							2				1	11	100.00	100.00	100.00	100.00	2	2	2																																							
H2459	021	1	1	02	01	H2459_021_1	8	2								2							2				1	11	225.00	225.00	225.00	225.00	2	2	2																																							
H2459	021	2	1	02	01	H2459_021_2	8	2								2							2				1	11	225.00	225.00	225.00	225.00	2	2	2																																							
H2459	021	3	1	02	01	H2459_021_3	8	2								2							2				1	11	225.00	225.00	225.00	225.00	2	2	2																																							
H2459	023	1	1	02	01	H2459_023_1	8	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	2																																							
H2459	023	2	1	02	01	H2459_023_2	8	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	2																																							
H2459	024	0	1	02	01	H2459_024_0	8	2								2							2				1	11	375.00	375.00	375.00	375.00	2	2	2																																							
H2459	026	1	1	02	01	H2459_026_1	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	2	2																																							
H2459	026	3	1	02	01	H2459_026_3	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	2	2																																							
H2459	026	4	1	02	01	H2459_026_4	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	2	2																																							
H2459	029	0	1	02	01	H2459_029_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	2	2																																							
H2459	030	0	1	02	01	H2459_030_0	10	2								2							2				1	11	200.00	200.00	200.00	200.00	2	2	2																																							
H2459	031	0	1	01	01	H2459_031_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	2	1	1	2	1				2			011111												1	500.00	3		2				2			2		2			2	2
H2459	032	0	1	01	01	H2459_032_0	9	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	1	1	2	1				2			011111												1	500.00	3		2				2			2		2			2	2
H2459	801	0	1	02	01	H2459_801_0	6	2								1	11	20	20	20	20	2	2				2							2	2																																							
H2461	005	0	1	18	06	H2461_005_0	5	2								1	11	20	20	20	20	2	2				2							2	2																																							
H2461	006	0	1	18	06	H2461_006_0	5	2								2							2				1	11	20.00	20.00	20.00	20.00	2	2	2																																							
H2461	007	0	1	18	06	H2461_007_0	5	2								2							2				2							2	2																																							
H2461	008	0	1	18	06	H2461_008_0	9	2								1	11	20	20	20	20	2	2				2							2	2																																							
H2461	009	0	1	18	06	H2461_009_0	9	2								2							2				1	11	20.00	20.00	20.00	20.00	2	2	2																																							
H2461	010	0	1	18	06	H2461_010_0	9	2								2							2				2							2	2																																							
H2462	022	0	1	18	06	H2462_022_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2462	023	0	1	18	06	H2462_023_0	5	2								2							2				1	11	200.00	200.00	350.00	350.00	2	1	2																																							
H2462	024	0	1	18	06	H2462_024_0	4	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	2																																							
H2462	025	0	1	18	06	H2462_025_0	4	2								2							2				1	10			100.00	100.00	2	1	2																																							
H2462	026	0	1	18	06	H2462_026_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2462	027	0	1	18	06	H2462_027_0	4	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	2																																							
H2462	028	0	1	18	06	H2462_028_0	5	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	2																																							
H2462	029	0	1	18	06	H2462_029_0	7	2								2							2				1	11	200.00	200.00	350.00	350.00	2	1	2																																							
H2462	801	0	1	18	06	H2462_801_0	1																																																																			
H2462	802	0	1	18	06	H2462_802_0	1																																																																			
H2463	001	0	1	01	01	H2463_001_0	8	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H2478	001	0	1	01	01	H2478_001_0	5	2								1	11	20	20	20	20	2	2				2							1	1	2											2	1				1			011111		1	100.00	5		2				2			2		2			2	2
H2478	002	0	1	01	01	H2478_002_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			011111												1	100	5		2				2			2		2			2	2
H2486	003	0	1	01	01	H2486_003_0	6	2								2							2				1	11	300.00	300.00	1250.00	1250.00	2	1	2																																							
H2486	005	0	1	01	01	H2486_005_0	6	2								2							2				1	11	300.00	300.00	1250.00	1250.00	2	1	2																																							
H2486	006	0	1	01	01	H2486_006_0	6	2								2							2				1	11	300.00	300.00	1250.00	1250.00	2	1	2																																							
H2486	007	0	1	01	01	H2486_007_0	7	2								2							2				1	11	300.00	300.00	1250.00	1250.00	2	1	2																																							
H2486	009	0	1	01	01	H2486_009_0	5	2								2							2				1	11	300.00	300.00	1250.00	1250.00	2	1	2																																							
H2486	010	0	1	01	01	H2486_010_0	5	2								2							2				1	11	300.00	300.00	1250.00	1250.00	2	1	2																																							
H2486	801	0	1	01	01	H2486_801_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2486	802	0	1	01	01	H2486_802_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2486	805	0	1	01	01	H2486_805_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2486	806	0	1	01	01	H2486_806_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2491	004	0	1	01	01	H2491_004_0	18	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2491	009	0	1	01	01	H2491_009_0	20	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H2491	010	0	1	01	01	H2491_010_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H2491	011	0	1	01	01	H2491_011_0	18	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			011010												2				2				2			2		1	0.00	0.00	1	2
H2491	012	0	1	01	01	H2491_012_0	18	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			011010												2				2				2			2		1	0.00	0.00	1	2
H2491	015	0	1	01	01	H2491_015_0	18	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H2491	016	0	1	01	01	H2491_016_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	1				1			011010												2				2				2			2		1	0.00	0.00	1	2
H2491	017	0	1	01	01	H2491_017_0	18	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2491	021	0	1	01	01	H2491_021_0	18	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H2491	022	0	1	01	01	H2491_022_0	18	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H2491	025	0	1	01	01	H2491_025_0	18	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H2491	026	0	1	01	01	H2491_026_0	17	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2491	027	1	1	01	01	H2491_027_1	18	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H2491	027	2	1	01	01	H2491_027_2	18	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H2491	027	3	1	01	01	H2491_027_3	18	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2506	001	0	1	48	05	H2506_001_0	3	2								2							2				2							1	1	1	2	1				2			010111												2				2				2			2		2			1	2
H2509	001	0	1	02	01	H2509_001_0	3	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	72	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H2509	002	0	1	02	01	H2509_002_0	3	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	72	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H2526	001	0	1	04	01	H2526_001_0	10	2								1	10			20	20	2	2				1	01	290.00	290.00			2	1	2																																							
H2531	001	0	1	48	05	H2531_001_0	2	2								2							2				2							1	1	1	2	2	30	3		1			111111	See notes.											2				2				2			2		2			1	2
H2533	001	0	1	48	05	H2533_001_0	6	2								2							2				2							1	2																																							
H2537	001	0	1	20	08	H2537_001_0	1																																																																			
H2537	002	0	1	20	08	H2537_002_0	1																																																																			
H2541	001	0	1	20	08	H2541_001_0	1																																																																			
H2541	002	0	1	20	08	H2541_002_0	1																																																																			
H2563	004	0	1	01	01	H2563_004_0	11	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011011												2				2				2			2		1	0.00	0.00	1	2
H2563	005	1	1	01	01	H2563_005_1	10	2								2							2				1	11	255.00	255.00	255.00	255.00	2	1	1	1	2	2	48	3		1			011011												2				2				2			2		1	0.00	0.00	1	2
H2563	005	2	1	01	01	H2563_005_2	10	2								2							2				1	11	255.00	255.00	255.00	255.00	2	1	1	1	2	2	48	3		1			011011												2				2				2			2		1	0.00	0.00	1	2
H2563	008	0	1	01	01	H2563_008_0	10	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	1	1	2	2	36	3		1			011011												2				2				2			2		1	0.00	0.00	1	2
H2563	009	0	1	01	01	H2563_009_0	10	2								2							2				1	11	255.00	255.00	255.00	255.00	2	1	1	1	2	2	36	3		1			011011												2				2				2			2		2			1	2
H2563	014	0	1	01	01	H2563_014_0	7	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	1	1	2	2	36	3		1			011011												2				2				2			2		2			1	2
H2563	015	0	1	01	01	H2563_015_0	11	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	1	1	2	2	36	3		1			011011												2				2				2			2		2			1	2
H2563	016	0	1	01	01	H2563_016_0	10	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	1	1	2	2	36	3		1			011011												2				2				2			2		2			1	2
H2563	017	1	1	01	01	H2563_017_1	10	2								2							2				1	11	285.00	285.00	285.00	285.00	2	1	1	1	2	2	36	3		1			011011												2				2				2			2		1	0.00	0.00	1	2
H2563	017	2	1	01	01	H2563_017_2	9	2								2							2				1	11	285.00	285.00	285.00	285.00	2	1	1	1	2	2	36	3		1			011011												2				2				2			2		1	0.00	0.00	1	2
H2563	018	0	1	01	01	H2563_018_0	9	2								2							2				1	11	285.00	285.00	285.00	285.00	2	1	1	1	2	2	36	3		1			011011												2				2				2			2		2			1	2
H2563	019	0	1	01	01	H2563_019_0	8	2								2							2				1	11	285.00	285.00	285.00	285.00	1	1	1	1	2	2	12	3		1			011011												2				2				2			2		2			1	2
H2563	020	0	1	01	01	H2563_020_0	10	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011011												2				2				2			2		1	0.00	0.00	1	2
H2563	801	0	1	01	01	H2563_801_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2563	802	0	1	01	01	H2563_802_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2563	803	0	1	01	01	H2563_803_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2563	804	0	1	01	01	H2563_804_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2577	001	1	1	04	01	H2577_001_1	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2577	001	2	1	04	01	H2577_001_2	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2577	002	0	1	04	01	H2577_002_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2577	003	1	1	04	01	H2577_003_1	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2577	003	2	1	04	01	H2577_003_2	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2577	004	0	1	04	01	H2577_004_0	5	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	2																																							
H2577	005	0	1	04	01	H2577_005_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2577	006	0	1	04	01	H2577_006_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2577	007	0	1	04	01	H2577_007_0	4	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2577	008	0	1	04	01	H2577_008_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2577	009	0	1	04	01	H2577_009_0	5	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H2577	011	0	1	04	01	H2577_011_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2577	013	0	1	04	01	H2577_013_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2577	014	0	1	04	01	H2577_014_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2577	015	0	1	04	01	H2577_015_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2577	016	0	1	04	01	H2577_016_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2577	017	0	1	04	01	H2577_017_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2577	018	0	1	04	01	H2577_018_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2577	019	0	1	04	01	H2577_019_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2577	020	0	1	04	01	H2577_020_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2577	021	0	1	04	01	H2577_021_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2577	022	0	1	04	01	H2577_022_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2577	023	0	1	04	01	H2577_023_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2577	026	0	1	04	01	H2577_026_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2577	027	0	1	04	01	H2577_027_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2577	028	0	1	04	01	H2577_028_0	5	2								2							2				1	11	170.00	170.00	170.00	170.00	2	1	2																																							
H2577	030	0	1	04	01	H2577_030_0	5	2								2							2				1	11	210.00	210.00	210.00	210.00	2	1	2																																							
H2577	031	0	1	04	01	H2577_031_0	5	2								2							2				1	11	215.00	215.00	215.00	215.00	2	1	2																																							
H2582	002	0	1	02	01	H2582_002_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2582	004	0	1	02	01	H2582_004_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2582	005	0	1	02	01	H2582_005_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2591	801	0	1	04	01	H2591_801_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2591	802	0	1	04	01	H2591_802_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2591	803	0	1	04	01	H2591_803_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2593	001	0	1	01	01	H2593_001_0	7	2								2							2				1	11	195.00	195.00	195.00	195.00	2	1	1	1	2	2	12	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H2593	003	0	1	01	01	H2593_003_0	7	2								2							2				1	11	195.00	195.00	195.00	195.00	2	1	1	1	2	2	6	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H2593	005	0	1	01	01	H2593_005_0	8	2								2							2				1	11	195.00	195.00	195.00	195.00	2	1	1	1	2	2	12	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H2593	006	0	1	01	01	H2593_006_0	8	2								2							2				1	11	195.00	195.00	195.00	195.00	2	1	1	1	2	2	12	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H2593	029	0	1	01	01	H2593_029_0	7	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H2593	031	0	1	02	01	H2593_031_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	86	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H2593	032	0	1	01	01	H2593_032_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H2593	040	0	1	01	01	H2593_040_0	7	2								2							2				1	11	195.00	195.00	195.00	195.00	2	1	1	1	2	1				1			011110												2				2				2			2		1	0.00	0.00	2	2
H2593	043	0	1	01	01	H2593_043_0	6	2								2							2				1	11	210.00	210.00	210.00	210.00	2	1	1	1	2	2	94	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H2593	044	0	1	01	01	H2593_044_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	65	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H2593	045	0	1	01	01	H2593_045_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	65	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H2593	046	0	1	01	01	H2593_046_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	65	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H2593	047	0	1	01	01	H2593_047_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	65	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H2593	048	0	1	01	01	H2593_048_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	65	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H2593	049	0	1	01	01	H2593_049_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H2593	051	0	1	01	01	H2593_051_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H2593	053	0	1	01	01	H2593_053_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H2593	054	0	1	01	01	H2593_054_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	65	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H2593	055	0	1	01	01	H2593_055_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H2593	056	0	1	01	01	H2593_056_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	65	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H2610	005	0	1	01	01	H2610_005_0	4	2								2							2				1	11	220.00	220.00	220.00	220.00	2	1	1	1	2	2	24	3		1			100000	The appropriate mode of transportation will be selected by the transportation vendor. Options include car, van, or wheelchair assisted vehicle.											2				2				2			2		2			2	2
H2610	006	0	1	01	01	H2610_006_0	4	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	2	2	24	3		1			100000	The appropriate mode of transportation will be selected by the transportation vendor. Options include car, van, or wheelchair assisted vehicle.											2				2				2			2		2			2	2
H2610	011	0	1	01	01	H2610_011_0	4	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	20	3		1			100000	The appropriate mode of transportation will be selected by the transportation vendor. Options include car, van, or wheelchair assisted vehicle.											2				2				2			2		2			2	2
H2610	015	0	1	01	01	H2610_015_0	4	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H2610	016	0	1	01	01	H2610_016_0	4	2								2							2				1	11	220.00	220.00	220.00	220.00	2	1	1	1	2	2	24	3		1			100000	The appropriate mode of transportation will be selected by the transportation vendor. Options include car, van, or wheelchair assisted vehicle.											2				2				2			2		2			2	2
H2610	019	0	1	01	01	H2610_019_0	4	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	2																																							
H2610	021	0	1	01	01	H2610_021_0	5	2								2							2				1	11	240.00	240.00	240.00	240.00	2	1	1	1	2	2	24	3		1			100000	The appropriate mode of transportation will be selected by the transportation vendor. Options include car, van, or wheelchair assisted vehicle.											2				2				2			2		2			2	2
H2610	023	0	1	01	01	H2610_023_0	5	2								2							2				1	11	240.00	240.00	240.00	240.00	2	1	1	1	2	2	24	3		1			100000	The appropriate mode of transportation will be selected by the transportation vendor. Options include car, van, or wheelchair assisted vehicle.											2				2				2			2		2			2	2
H2610	803	0	1	01	01	H2610_803_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2610	804	0	1	01	01	H2610_804_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2610	805	0	1	01	01	H2610_805_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2610	806	0	1	01	01	H2610_806_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2610	807	0	1	02	01	H2610_807_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2610	808	0	1	02	01	H2610_808_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2610	809	0	1	02	01	H2610_809_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2610	810	0	1	02	01	H2610_810_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2624	001	0	1	01	01	H2624_001_0	10	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	30	3		1			011001												2				2				2			2		2			1	2
H2624	004	0	1	01	01	H2624_004_0	11	2								2							2				1	11	200.00	200.00	300.00	300.00	2	1	2																																							
H2624	802	0	1	01	01	H2624_802_0	5	2								2							2				1	11	200.00	200.00	300.00	300.00	2	1	2																																							
H2624	803	0	1	01	01	H2624_803_0	5	2								2							2				1	11	200.00	200.00	300.00	300.00	2	1	2																																							
H2663	002	0	1	01	01	H2663_002_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H2663	005	0	1	01	01	H2663_005_0	7	2								2							2				1	11	280.00	280.00	280.00	280.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H2663	006	0	1	02	01	H2663_006_0	9	2								2							2				1	11	285.00	285.00	285.00	285.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H2663	017	0	1	01	01	H2663_017_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H2663	021	0	1	02	01	H2663_021_0	7	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H2663	022	0	1	02	01	H2663_022_0	4	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H2663	023	0	1	02	01	H2663_023_0	7	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H2663	025	0	1	02	01	H2663_025_0	4	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H2663	026	0	1	02	01	H2663_026_0	7	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	2																																							
H2663	028	0	1	02	01	H2663_028_0	7	2								2							2				1	11	280.00	280.00	280.00	280.00	2	1	2																																							
H2663	029	0	1	02	01	H2663_029_0	4	2								2							2				1	11	330.00	330.00	330.00	330.00	2	1	2																																							
H2663	034	0	1	01	01	H2663_034_0	8	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H2663	038	0	1	01	01	H2663_038_0	7	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	2																																							
H2663	039	0	1	01	01	H2663_039_0	6	2								2							2				1	11	305.00	305.00	330.00	330.00	2	1	2																																							
H2663	040	0	1	01	01	H2663_040_0	7	2								2							2				1	11	280.00	280.00	280.00	280.00	2	1	2																																							
H2663	041	0	1	01	01	H2663_041_0	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2663	042	0	1	01	01	H2663_042_0	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2663	043	0	1	02	01	H2663_043_0	7	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	2																																							
H2663	052	0	1	01	01	H2663_052_0	7	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H2663	053	0	1	01	01	H2663_053_0	7	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H2663	054	0	1	01	01	H2663_054_0	7	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H2663	055	0	1	01	01	H2663_055_0	7	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H2663	056	0	1	01	01	H2663_056_0	7	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H2663	057	0	1	01	01	H2663_057_0	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2663	059	0	1	01	01	H2663_059_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2663	061	0	1	02	01	H2663_061_0	7	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	2																																							
H2663	062	0	1	02	01	H2663_062_0	7	2								2							2				1	11	280.00	280.00	280.00	280.00	2	1	2																																							
H2663	063	0	1	02	01	H2663_063_0	7	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	2																																							
H2663	064	0	1	01	01	H2663_064_0	7	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H2663	065	0	1	01	01	H2663_065_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H2663	066	0	1	01	01	H2663_066_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H2663	067	0	1	01	01	H2663_067_0	6	2								2							2				1	11	330.00	330.00	330.00	330.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H2663	805	0	1	01	01	H2663_805_0	8	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2663	810	0	1	01	01	H2663_810_0	8	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2686	001	0	1	04	01	H2686_001_0	10	2								1	10			20	20	2	2				1	01	220.00	220.00			2	1	2																																							
H2686	002	0	1	04	01	H2686_002_0	11	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	2																																							
H2686	003	0	1	04	01	H2686_003_0	11	2								1	10			20	20	2	2				1	01	295.00	295.00			2	1	2																																							
H2694	001	0	1	04	01	H2694_001_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	1	1	1	1	2	1				2			011001												2				2				2			2		2			2	2
H2694	002	0	1	04	01	H2694_002_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	1	1	1	1	2	1				2			011001												2				2				2			2		2			2	2
H2697	001	0	1	01	01	H2697_001_0	11	2								1	10			20	20	2	2				1	01	260.00	260.00			2	1	2																																							
H2697	002	0	1	01	01	H2697_002_0	10	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	2																																							
H2697	003	0	1	01	01	H2697_003_0	10	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H2697	004	0	1	01	01	H2697_004_0	11	2								1	10			20	20	2	2				1	01	260.00	260.00			2	1	2																																							
H2697	005	0	1	01	01	H2697_005_0	10	2								1	10			20	20	2	2				1	01	260.00	260.00			2	1	2																																							
H2697	006	0	1	01	01	H2697_006_0	10	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H2697	007	0	1	01	01	H2697_007_0	11	2								1	10			20	20	2	2				1	01	260.00	260.00			2	1	2																																							
H2697	008	0	1	01	01	H2697_008_0	11	2								1	10			20	20	2	2				1	01	260.00	260.00			2	1	2																																							
H2697	009	0	1	01	01	H2697_009_0	10	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H2697	010	0	1	01	01	H2697_010_0	13	2								1	11	40	40	40	40	2	2				2							1	2																																							
H2697	011	0	1	01	01	H2697_011_0	12	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	2																																							
H2715	001	0	1	01	01	H2715_001_0	6	2								1	11	20	20	20	20	2	2				2							1	1	2											2	1				1			011111		2				2				2			2		2			2	2
H2722	002	0	1	02	01	H2722_002_0	6	2								2							2				1	11	250.00	250.00	260.00	260.00	2	1	2																																							
H2722	003	0	1	02	01	H2722_003_0	8	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	84	3		1			000011												2				2				2			2		2			2	2
H2722	004	0	1	02	01	H2722_004_0	6	2								2							2				1	11	250.00	250.00	260.00	260.00	2	1	2																																							
H2722	005	0	1	02	01	H2722_005_0	6	2								2							2				1	11	250.00	250.00	300.00	300.00	2	1	2																																							
H2722	801	0	1	02	01	H2722_801_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2737	001	0	1	04	01	H2737_001_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H2737	002	0	1	04	01	H2737_002_0	7	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	2																																							
H2737	801	0	1	04	01	H2737_801_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2737	802	0	1	04	01	H2737_802_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2737	803	0	1	04	01	H2737_803_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2752	002	0	1	01	01	H2752_002_0	8	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	30	3		1			011011												2				2				2			2		2			1	2
H2752	003	0	1	01	01	H2752_003_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	30	3		1			011011												2				2				2			2		2			1	2
H2765	001	0	1	02	01	H2765_001_0	6	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H2765	002	0	1	02	01	H2765_002_0	8	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H2765	003	0	1	02	01	H2765_003_0	8	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H2765	004	0	1	02	01	H2765_004_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2775	105	0	1	04	01	H2775_105_0	17	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H2775	106	0	1	04	01	H2775_106_0	18	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H2775	109	0	1	04	01	H2775_109_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H2775	111	0	1	04	01	H2775_111_0	18	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H2775	112	0	1	04	01	H2775_112_0	18	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H2775	113	0	1	04	01	H2775_113_0	16	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	2																																							
H2775	114	0	1	04	01	H2775_114_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H2775	115	0	1	04	01	H2775_115_0	18	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H2782	002	0	1	01	01	H2782_002_0	8	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H2782	004	0	1	01	01	H2782_004_0	8	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H2782	801	0	1	01	01	H2782_801_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2782	802	0	1	01	01	H2782_802_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2782	803	0	1	01	01	H2782_803_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2782	804	0	1	01	01	H2782_804_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2802	001	0	1	02	01	H2802_001_0	6	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	2																																							
H2802	007	0	1	02	01	H2802_007_0	5	2								2							2				1	11	235.00	235.00	235.00	235.00	2	1	2																																							
H2802	008	0	1	02	01	H2802_008_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2802	010	0	1	02	01	H2802_010_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2802	012	0	1	02	01	H2802_012_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2802	016	0	1	02	01	H2802_016_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2802	018	0	1	02	01	H2802_018_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2802	024	0	1	02	01	H2802_024_0	5	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H2802	025	0	1	02	01	H2802_025_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2802	027	0	1	02	01	H2802_027_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H2802	028	0	1	02	01	H2802_028_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	12	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H2802	029	0	1	02	01	H2802_029_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2802	030	0	1	02	01	H2802_030_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2802	031	0	1	02	01	H2802_031_0	5	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H2802	032	0	1	02	01	H2802_032_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2802	033	0	1	02	01	H2802_033_0	5	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H2802	034	0	1	02	01	H2802_034_0	6	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H2802	035	0	1	02	01	H2802_035_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2802	041	0	1	02	01	H2802_041_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2802	044	0	1	02	01	H2802_044_0	4	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H2802	048	0	1	02	01	H2802_048_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2802	049	0	1	02	01	H2802_049_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2802	050	0	1	02	01	H2802_050_0	4	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2802	052	0	1	02	01	H2802_052_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	18	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H2802	053	0	1	02	01	H2802_053_0	3	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H2802	054	0	1	02	01	H2802_054_0	6	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	2																																							
H2802	055	0	1	02	01	H2802_055_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2802	056	0	1	02	01	H2802_056_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2802	057	0	1	02	01	H2802_057_0	5	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H2802	058	0	1	02	01	H2802_058_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2802	059	0	1	02	01	H2802_059_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H2802	060	0	1	02	01	H2802_060_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2802	061	0	1	02	01	H2802_061_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2802	062	0	1	02	01	H2802_062_0	4	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2802	063	0	1	02	01	H2802_063_0	5	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H2802	801	0	1	01	01	H2802_801_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2802	802	0	1	01	01	H2802_802_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2802	803	0	1	01	01	H2802_803_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2802	804	0	1	01	01	H2802_804_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2802	805	0	1	01	01	H2802_805_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2802	806	0	1	01	01	H2802_806_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2802	807	0	1	01	01	H2802_807_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2802	808	0	1	01	01	H2802_808_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2802	809	0	1	01	01	H2802_809_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2802	816	0	1	01	01	H2802_816_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2802	817	0	1	01	01	H2802_817_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2802	818	0	1	01	01	H2802_818_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2802	819	0	1	01	01	H2802_819_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2802	820	0	1	01	01	H2802_820_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2802	821	0	1	01	01	H2802_821_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2802	822	0	1	01	01	H2802_822_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2802	823	0	1	01	01	H2802_823_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2802	824	0	1	01	01	H2802_824_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2815	001	0	1	20	08	H2815_001_0	1																																																																			
H2815	002	0	1	20	08	H2815_002_0	1																																																																			
H2816	013	0	1	09	04	H2816_013_0	17	2								2							2				1	11	350.00	350.00	350.00	350.00	2	2	2																																							
H2816	019	0	1	09	04	H2816_019_0	17	2								2							2				1	11	350.00	350.00	350.00	350.00	2	2	2																																							
H2816	037	0	1	09	04	H2816_037_0	16	2								2							2				1	11	300.00	300.00	300.00	300.00	2	2	2																																							
H2816	038	0	1	09	04	H2816_038_0	16	2								2							2				1	11	335.00	335.00	335.00	335.00	2	2	2																																							
H2816	040	0	1	09	04	H2816_040_0	4	2								2							2				1	11	300.00	300.00	300.00	300.00	2	2	2																																							
H2819	001	0	1	01	01	H2819_001_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011011												2				2				2			2		2			1	2
H2819	002	0	1	01	01	H2819_002_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011011												2				2				2			2		2			1	2
H2819	003	0	1	01	01	H2819_003_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011011												2				2				2			2		2			1	2
H2835	001	0	1	20	08	H2835_001_0	1																																																																			
H2835	002	0	1	20	08	H2835_002_0	1																																																																			
H2836	005	0	1	04	01	H2836_005_0	6	2								1	10			20	20	2	2				1	01	295.00	295.00			2	1	2																																							
H2836	006	0	1	04	01	H2836_006_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			011110												2				2				2			2		1	0.00	0.00	2	2
H2853	801	0	1	01	01	H2853_801_0	12	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2879	001	0	1	01	01	H2879_001_0	5	2								1	11	20	20	20	20	1	2				2							1	1	1	2	2	102	3		1			111111	Other transportation could include a sedan, van, taxi, wheelchair lift-equipped vehicle, stretcher, van services or rideshare.											2				2				2			2		2			1	2
H2879	002	0	1	01	01	H2879_002_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			111111	Other transportation could include a sedan, van, taxi, wheelchair lift-equipped vehicle, stretcher van services, or rideshare.											2				2				2			2		2			1	2
H2879	003	0	1	01	01	H2879_003_0	5	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	2											2	1				1			011111		2				2				2			2		2			2	2
H2879	004	0	1	01	01	H2879_004_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H2879	005	0	1	01	01	H2879_005_0	5	2								1	11	20	20	20	20	2	2				2							1	1	2											2	1				1			011111		1	150.00	5		2				2			2		2			2	2
H2882	003	0	1	20	08	H2882_003_0	1																																																																			
H2882	004	0	1	20	08	H2882_004_0	1																																																																			
H2915	002	0	1	01	01	H2915_002_0	17	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			011010												2				2				2			2		1	0.00	0.00	1	2
H2915	003	0	1	01	01	H2915_003_0	5	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	2																																							
H2915	007	0	1	01	01	H2915_007_0	17	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H2915	011	0	1	01	01	H2915_011_0	5	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	2																																							
H2915	013	0	1	01	01	H2915_013_0	15	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H2915	016	0	1	01	01	H2915_016_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H2918	001	0	1	20	08	H2918_001_0	2																																																																			
H2918	002	0	1	20	08	H2918_002_0	2																																																																			
H2923	001	0	1	01	01	H2923_001_0	11	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	2																																							
H2926	001	0	1	01	01	H2926_001_0	13	2								1	11	20	20	20	20	2	2				2							1	1	2											2	1				2			011111		2				2				2			2		2			2	2
H2936	001	0	1	20	08	H2936_001_0	1																																																																			
H2936	002	0	1	20	08	H2936_002_0	1																																																																			
H2937	001	0	1	20	08	H2937_001_0	1																																																																			
H2937	002	0	1	20	08	H2937_002_0	1																																																																			
H2941	001	0	1	20	08	H2941_001_0	1																																																																			
H2941	002	0	1	20	08	H2941_002_0	1																																																																			
H2942	001	0	1	01	01	H2942_001_0	9	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H2944	013	0	1	09	04	H2944_013_0	7	2								1	10			20	20	2	2				1	01	300.00	300.00			2		2																																							
H2960	009	0	1	01	01	H2960_009_0	4	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	24	3		1			001010												1	1250.00	3		2				2			2		2			1	1
H2960	012	0	1	01	01	H2960_012_0	6	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	1	1	2	2	24	3		1			001010												1	1250.00	3		2				2			2		2			1	1
H2960	018	0	1	01	01	H2960_018_0	6	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	24	3		1			001010												1	1250.00	3		2				2			2		2			1	1
H2960	019	0	1	01	01	H2960_019_0	4	2								2							2				1	11	275.00	275.00	325.00	325.00	2	1	1	1	2	2	24	3		1			001010												1	1250.00	3		2				2			2		2			1	2
H2960	023	0	1	01	01	H2960_023_0	5	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	1	1	2	1				2			001010												1	1250.00	3		2				2			2		2			1	1
H2960	024	0	1	01	01	H2960_024_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			000010												2				2				2			2		2			1	2
H2960	803	0	1	01	01	H2960_803_0	3	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			001010												1	1250.00	3		2				2			2		2			2	2
H2962	001	0	1	01	01	H2962_001_0	8	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	2	20	3		1			011111												2				2				2			2		2			2	2
H2962	021	0	1	01	01	H2962_021_0	6	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	1				1			011111												2				2				2			2		2			2	2
H2962	022	0	1	01	01	H2962_022_0	6	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	1				1			011111												2				2				2			2		2			2	2
H2962	023	0	1	01	01	H2962_023_0	6	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	1				1			011111												2				2				2			2		2			2	2
H2962	025	0	1	01	01	H2962_025_0	6	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	1				1			011111												2				2				2			2		2			2	2
H2962	026	0	1	01	01	H2962_026_0	7	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	1				1			011111												2				2				2			2		2			2	2
H2962	028	0	1	01	01	H2962_028_0	8	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	2	20	3		1			011111												2				2				2			2		2			2	2
H2962	029	0	1	01	01	H2962_029_0	6	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	1				1			011111												2				2				2			2		2			2	2
H2962	033	0	1	01	01	H2962_033_0	6	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	1				1			011111												2				2				2			2		2			2	2
H2962	035	0	1	01	01	H2962_035_0	8	2								2							2				2							1	1	1	2	1				1			011111												2				2				2			2		2			2	2
H2962	036	0	1	01	01	H2962_036_0	8	2								2							2				2							1	1	1	2	1				1			011111												2				2				2			2		2			2	2
H2962	045	0	1	01	01	H2962_045_0	8	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	2	20	3		1			011111												2				2				2			2		2			2	2
H2962	046	0	1	01	01	H2962_046_0	5	2								1	10			20	20	2	2				1	01	175.00	175.00			2	1	1	1	2	2	12	3		1			011111												2				2				2			2		2			2	2
H2962	047	0	1	01	01	H2962_047_0	7	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	2	12	3		1			011111												2				2				2			2		2			2	2
H2962	050	0	1	01	01	H2962_050_0	5	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	2	12	3		1			011111												2				2				2			2		2			2	2
H2962	051	0	1	01	01	H2962_051_0	5	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	2	12	3		1			011111												2				2				2			2		2			2	2
H2962	052	0	1	01	01	H2962_052_0	5	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	2	12	3		1			011111												2				2				2			2		2			2	2
H2992	001	0	1	20	08	H2992_001_0	1																																																																			
H2992	002	0	1	20	08	H2992_002_0	1																																																																			
H2992	003	0	1	20	08	H2992_003_0	1																																																																			
H2992	004	0	1	20	08	H2992_004_0	1																																																																			
H3015	001	0	1	01	01	H3015_001_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			011111												2				2				2			2		2			2	2
H3038	001	0	1	01	01	H3038_001_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	12	3		1			111111	Other transportation could include a sedan, van, taxi, wheelchair lift-equipped vehicle, stretcher, van services or rideshare.											2				2				2			2		2			1	2
H3038	002	0	1	01	01	H3038_002_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			111111	Other transportation could include a sedan, van, taxi, wheelchair lift-equipped vehicle, stretcher, van services or rideshare.											2				2				2			2		2			1	2
H3038	003	0	1	01	01	H3038_003_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3041	001	0	1	01	01	H3041_001_0	11	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H3047	001	0	1	04	01	H3047_001_0	17	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H3047	002	0	1	04	01	H3047_002_0	17	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H3060	001	0	1	20	08	H3060_001_0	1																																																																			
H3060	002	0	1	20	08	H3060_002_0	1																																																																			
H3071	002	0	1	01	01	H3071_002_0	9	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	2	12	3		2			011011												2				2				2			2		2			2	2
H3080	001	0	1	01	01	H3080_001_0	11	2								1	10			20	20	2	2				1	01	270.00	270.00			2	1	2																																							
H3080	002	0	1	01	01	H3080_002_0	10	2								1	10			20	20	2	2				1	01	270.00	270.00			2	1	2																																							
H3080	003	0	1	01	01	H3080_003_0	12	2								2							2				2							1	2																																							
H3080	004	0	1	01	01	H3080_004_0	12	2								1	10			20	20	2	2				1	01	270.00	270.00			2	1	2																																							
H3080	006	0	1	01	01	H3080_006_0	12	2								2							2				2							1	2																																							
H3080	007	0	1	01	01	H3080_007_0	12	2								1	10			20	20	2	2				1	01	270.00	270.00			2	1	2																																							
H3084	001	0	1	20	08	H3084_001_0	1																																																																			
H3084	002	0	1	20	08	H3084_002_0	1																																																																			
H3113	001	0	1	01	01	H3113_001_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H3113	005	0	1	01	01	H3113_005_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3113	008	0	1	02	01	H3113_008_0	5	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H3113	009	0	1	02	01	H3113_009_0	3	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H3113	010	0	1	02	01	H3113_010_0	3	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H3113	011	0	1	02	01	H3113_011_0	3	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H3113	013	0	1	02	01	H3113_013_0	4	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H3113	014	0	1	02	01	H3113_014_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H3138	001	0	1	04	01	H3138_001_0	12	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	4	2	8	3		1			011011												2				2				2			2		1	0.00	0.00	2	2
H3138	002	0	1	04	01	H3138_002_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	4	2	8	3		1			011011												2				2				2			2		1	0.00	0.00	2	2
H3146	001	0	1	02	01	H3146_001_0	8	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H3146	002	0	1	01	01	H3146_002_0	8	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3146	003	0	1	01	01	H3146_003_0	9	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	18	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3146	004	0	1	02	01	H3146_004_0	8	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H3146	006	0	1	01	01	H3146_006_0	8	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H3146	007	0	1	02	01	H3146_007_0	8	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H3146	008	0	1	01	01	H3146_008_0	9	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3146	009	0	1	01	01	H3146_009_0	9	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3146	011	0	1	01	01	H3146_011_0	8	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H3146	012	0	1	01	01	H3146_012_0	8	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H3146	013	0	1	01	01	H3146_013_0	8	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H3146	014	0	1	02	01	H3146_014_0	8	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	18	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3146	015	0	1	01	01	H3146_015_0	9	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3146	016	0	1	01	01	H3146_016_0	9	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3146	017	0	1	01	01	H3146_017_0	9	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3146	018	0	1	01	01	H3146_018_0	9	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3146	019	0	1	01	01	H3146_019_0	9	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	6	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3146	020	0	1	02	01	H3146_020_0	9	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	2																																							
H3146	801	0	1	01	01	H3146_801_0	8	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3146	802	0	1	01	01	H3146_802_0	8	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3152	022	0	1	02	01	H3152_022_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H3152	045	0	1	01	01	H3152_045_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H3152	048	0	1	02	01	H3152_048_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H3152	080	0	1	02	01	H3152_080_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H3152	082	0	1	01	01	H3152_082_0	10	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H3152	084	0	1	01	01	H3152_084_0	9	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H3152	088	0	1	01	01	H3152_088_0	9	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H3152	801	0	1	01	01	H3152_801_0	8	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3152	804	0	1	01	01	H3152_804_0	8	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3170	003	1	1	01	01	H3170_003_1	4	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H3170	003	2	1	01	01	H3170_003_2	6	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H3186	001	0	1	04	01	H3186_001_0	8	2								2							2				1	11	200.00	200.00	200.00	200.00	2	2	2																																							
H3186	002	0	1	04	01	H3186_002_0	8	2								2							2				1	11	240.00	240.00	240.00	240.00	2	2	2																																							
H3189	001	0	1	01	01	H3189_001_0	5	2								2							2				1	11	240.00	240.00	240.00	240.00	2	1	1	1	2	2	24	3		1			100000	The appropriate mode of transportation will be selected by the transportation vendor. Options include car, van, or wheelchair assisted vehicle.											2				2				2			2		2			2	2
H3189	801	0	1	01	01	H3189_801_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3189	802	0	1	01	01	H3189_802_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3189	803	0	1	01	01	H3189_803_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3189	804	0	1	01	01	H3189_804_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3192	001	0	1	02	01	H3192_001_0	8	2								1	10			20	20	2	2				1	01	255.00	255.00			2	1	2																																							
H3192	002	0	1	02	01	H3192_002_0	9	2								2							2				1	11	285.00	285.00	350.00	350.00	2	1	2																																							
H3192	003	0	1	02	01	H3192_003_0	8	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	2																																							
H3192	004	0	1	02	01	H3192_004_0	8	2								1	10			20	20	2	2				1	01	295.00	295.00			2	1	2																																							
H3192	005	0	1	02	01	H3192_005_0	8	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H3192	006	0	1	02	01	H3192_006_0	8	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H3192	007	0	1	01	01	H3192_007_0	8	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	50	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3192	008	0	1	01	01	H3192_008_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3192	009	0	1	01	01	H3192_009_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3192	010	0	1	02	01	H3192_010_0	7	2								2							2				1	11	260.00	260.00	325.00	325.00	2	1	2																																							
H3192	011	0	1	02	01	H3192_011_0	7	2								2							2				1	11	265.00	265.00	325.00	325.00	2	1	2																																							
H3192	012	0	1	02	01	H3192_012_0	7	2								2							2				1	11	300.00	300.00	325.00	325.00	2	1	2																																							
H3192	013	0	1	02	01	H3192_013_0	7	2								2							2				1	11	250.00	250.00	350.00	350.00	2	1	2																																							
H3192	017	0	1	02	01	H3192_017_0	7	2								2							2				1	11	285.00	285.00	350.00	350.00	2	1	2																																							
H3192	020	0	1	02	01	H3192_020_0	7	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H3192	801	0	1	01	01	H3192_801_0	8	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3192	802	0	1	01	01	H3192_802_0	8	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3204	001	0	1	01	01	H3204_001_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	2	2																																							
H3204	007	0	1	01	01	H3204_007_0	7	2								2							2				1	11	265.00	265.00	265.00	265.00	2	2	2																																							
H3204	008	0	1	01	01	H3204_008_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	2	2																																							
H3204	013	4	1	01	01	H3204_013_4	8	2								1	11	20	20	20	20	2	2				2							2	1	1	2	2	50	3		1			011011												2				2				2			2		2			2	2
H3204	013	5	1	01	01	H3204_013_5	6	2								1	11	20	20	20	20	2	2				2							2	2																																							
H3204	015	0	1	02	01	H3204_015_0	8	2								2							2				1	11	320.00	320.00	320.00	320.00	2	2	2																																							
H3204	801	0	1	01	01	H3204_801_0	1	2								1	11	20	20	20	20	2	2				2							2	2																																							
H3204	802	0	1	01	01	H3204_802_0	1	2								1	11	20	20	20	20	2	2				2							2	2																																							
H3204	803	0	1	01	01	H3204_803_0	1	2								1	11	20	20	20	20	2	2				2							2	2																																							
H3204	808	0	1	02	01	H3204_808_0	1	2								1	11	20	20	20	20	2	2				2							2	2																																							
H3204	809	0	1	02	01	H3204_809_0	1	2								1	11	20	20	20	20	2	2				2							2	2																																							
H3204	810	0	1	02	01	H3204_810_0	1	2								1	11	20	20	20	20	2	2				2							2	2																																							
H3206	001	0	1	04	01	H3206_001_0	9	2								2							2				1	11	275.00	275.00	275.00	275.00	2	2	2																																							
H3206	003	0	1	04	01	H3206_003_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	2	2																																							
H3206	801	0	1	04	01	H3206_801_0	1	2								1	11	20	20	20	20	2	2				2							2	2																																							
H3206	802	0	1	04	01	H3206_802_0	1	2								1	11	20	20	20	20	2	2				2							2	2																																							
H3206	803	0	1	04	01	H3206_803_0	1	2								1	11	20	20	20	20	2	2				2							2	2																																							
H3219	001	0	1	04	01	H3219_001_0	7	2								2							2				1	11	305.00	305.00	305.00	305.00	2	1	2																																							
H3219	002	0	1	04	01	H3219_002_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H3219	003	0	1	04	01	H3219_003_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H3219	004	0	1	04	01	H3219_004_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H3219	005	0	1	04	01	H3219_005_0	5	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	2																																							
H3219	007	0	1	04	01	H3219_007_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H3219	008	0	1	04	01	H3219_008_0	7	2								2							2				1	11	335.00	335.00	335.00	335.00	2	1	2																																							
H3219	801	0	1	04	01	H3219_801_0	9	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3219	802	0	1	04	01	H3219_802_0	9	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3239	001	0	1	01	01	H3239_001_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3239	002	0	1	01	01	H3239_002_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3239	003	0	1	01	01	H3239_003_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3239	005	0	1	01	01	H3239_005_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3239	006	0	1	01	01	H3239_006_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3239	007	0	1	01	01	H3239_007_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3239	008	0	1	01	01	H3239_008_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3239	010	0	1	01	01	H3239_010_0	6	2								1	10			20	20	2	2				1	01	295.00	295.00			2	1	1	1	2	2	36	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3239	011	0	1	01	01	H3239_011_0	6	2								1	10			20	20	2	2				1	01	290.00	290.00			2	1	1	1	2	2	48	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3239	012	0	1	01	01	H3239_012_0	6	2								1	10			20	20	2	2				1	01	295.00	295.00			2	1	1	1	2	2	36	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3239	013	0	1	01	01	H3239_013_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3239	014	0	1	01	01	H3239_014_0	6	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3239	015	0	1	01	01	H3239_015_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3239	016	0	1	01	01	H3239_016_0	6	2								1	10			20	20	2	2				1	01	295.00	295.00			2	1	1	1	2	2	48	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3239	017	0	1	01	01	H3239_017_0	6	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3239	018	0	1	01	01	H3239_018_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3239	019	0	1	01	01	H3239_019_0	6	2								1	10			20	20	2	2				1	01	295.00	295.00			2	1	1	1	2	2	36	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3239	020	0	1	01	01	H3239_020_0	6	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3240	013	0	1	01	01	H3240_013_0	6	2								2							2				1	11	0.00	0.00	0.00	0.00	2	1	2																																							
H3240	017	0	1	02	01	H3240_017_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	80	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H3240	021	0	1	01	01	H3240_021_0	8	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	32	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H3240	022	0	1	01	01	H3240_022_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H3240	024	0	1	02	01	H3240_024_0	7	2								2							2				1	11	0.00	0.00	0.00	0.00	2	1	2																																							
H3251	002	0	1	01	01	H3251_002_0	7	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	2	12	3		1			010010												2				2				2			2		1	0.00	0.00	1	2
H3251	029	0	1	01	01	H3251_029_0	6	2								1	11	20	20	20	20	1	2				2							1	1	1	2	2	24	3		1			010010												2				2				2			2		1	0.00	0.00	1	2
H3251	804	0	1	01	01	H3251_804_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H3256	001	0	1	04	01	H3256_001_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H3256	002	0	1	04	01	H3256_002_0	4	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H3259	001	0	1	01	01	H3259_001_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	150	3		1			011111												2				2				2			2		2			1	2
H3259	002	0	1	01	01	H3259_002_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			011111												2				2				2			2		2			1	2
H3259	003	0	1	01	01	H3259_003_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			011111												2				2				2			2		2			1	2
H3274	001	0	1	01	01	H3274_001_0	12	2								1	11	20	20	20	20	2	2				2							1	1	2											2	2	24	3		1			011011		2				2				2			2		2			2	2
H3274	002	0	1	01	01	H3274_002_0	11	2								1	10			20	20	2	2				1	01	125.00	125.00			2	1	1	2											2	2	24	3		1			011011		2				2				2			2		2			2	2
H3274	003	0	1	01	01	H3274_003_0	11	2								1	10			20	20	2	2				1	01	125.00	125.00			2	1	1	2											2	2	24	3		1			011011		2				2				2			2		2			2	2
H3274	004	0	1	01	01	H3274_004_0	9	2								1	11	20	20	20	20	2	2				2							1	1	2											2	2	80	3		1			011011		2				2				2			2		2			2	2
H3276	001	0	1	02	01	H3276_001_0	12	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3276	003	0	1	02	01	H3276_003_0	11	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3284	001	0	1	20	08	H3284_001_0	1																																																																			
H3284	002	0	1	20	08	H3284_002_0	1																																																																			
H3288	001	0	1	04	01	H3288_001_0	9	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H3288	002	0	1	04	01	H3288_002_0	9	2								2							2				1	11	245.00	245.00	245.00	245.00	2	1	2																																							
H3288	003	0	1	04	01	H3288_003_0	9	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H3288	004	0	1	04	01	H3288_004_0	9	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H3288	005	0	1	04	01	H3288_005_0	8	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H3288	006	0	1	04	01	H3288_006_0	9	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H3288	007	0	1	04	01	H3288_007_0	9	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H3288	008	0	1	04	01	H3288_008_0	11	2								2							2				1	11	280.00	280.00	280.00	280.00	2	1	2																																							
H3288	009	0	1	04	01	H3288_009_0	9	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H3288	011	0	1	04	01	H3288_011_0	9	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H3288	016	0	1	04	01	H3288_016_0	9	2								2							2				1	11	280.00	280.00	280.00	280.00	2	1	2																																							
H3288	017	0	1	04	01	H3288_017_0	8	2								2							2				1	11	285.00	285.00	285.00	285.00	2	1	2																																							
H3288	018	0	1	04	01	H3288_018_0	9	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H3288	019	0	1	04	01	H3288_019_0	9	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H3288	020	0	1	04	01	H3288_020_0	9	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H3288	021	0	1	04	01	H3288_021_0	9	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H3288	027	0	1	04	01	H3288_027_0	4	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H3288	031	0	1	04	01	H3288_031_0	4	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	2																																							
H3288	034	0	1	04	01	H3288_034_0	3	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3288	042	0	1	04	01	H3288_042_0	4	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	2																																							
H3288	045	0	1	04	01	H3288_045_0	4	2								1	10			20	20	2	2				1	01	265.00	265.00			2	1	2																																							
H3288	046	0	1	04	01	H3288_046_0	9	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H3288	047	0	1	04	01	H3288_047_0	9	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H3288	048	0	1	04	01	H3288_048_0	9	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H3288	051	0	1	04	01	H3288_051_0	8	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H3288	801	0	1	04	01	H3288_801_0	8	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3288	802	0	1	04	01	H3288_802_0	8	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3291	001	0	1	01	01	H3291_001_0	4	2								1	11	20	20	20	20	2	2				2							2	1	1	2	2	24	3		1			011111												2				2				2			2		2			2	2
H3291	002	0	1	01	01	H3291_002_0	5	2								1	11	20	20	20	20	2	2				2							2	1	1	2	2	64	3		1			011111												2				2				2			2		2			2	2
H3291	003	0	1	01	01	H3291_003_0	7	2								1	10			20	20	2	2				1	01	285.00	285.00			2	2	1	1	2	2	48	3		1			011111												2				2				2			2		2			2	2
H3305	007	0	1	02	01	H3305_007_0	8	2								2							2				1	11	75.00	75.00	150.00	150.00	2	1	1	1	2	2	12	3		1			011011												2				2				2			2		2			1	2
H3305	015	0	1	02	01	H3305_015_0	10	2								2							2				1	11	160.00	160.00	300.00	300.00	2	1	1	1	2	2	30	3		1			011011												2				2				2			2		2			1	2
H3305	020	0	1	02	01	H3305_020_0	9	2								2							2				1	11	100.00	100.00	200.00	200.00	2	1	1	1	2	2	12	3		1			011011												2				2				2			2		2			1	2
H3305	021	0	1	02	01	H3305_021_0	10	2								2							2				1	11	100.00	100.00	200.00	200.00	2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			1	2
H3305	022	0	1	02	01	H3305_022_0	10	2								2							2				1	11	175.00	175.00	300.00	300.00	2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			1	2
H3305	030	0	1	02	01	H3305_030_0	10	2								2							2				1	11	250.00	250.00	500.00	500.00	2	1	1	1	2	2	12	3		1			011011												2				2				2			2		2			1	2
H3305	032	0	1	02	01	H3305_032_0	10	2								2							2				1	11	250.00	250.00	350.00	350.00	2	1	1	1	2	2	14	3		1			011011												2				2				2			2		2			1	2
H3305	033	0	1	01	01	H3305_033_0	10	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			011011												2				2				2			2		2			1	2
H3305	034	0	1	01	01	H3305_034_0	11	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			011011												2				2				2			2		2			1	2
H3305	035	0	1	01	01	H3305_035_0	11	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			011011												2				2				2			2		2			1	2
H3305	801	0	1	02	01	H3305_801_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3305	803	0	1	02	01	H3305_803_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3305	804	0	1	02	01	H3305_804_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3307	002	0	1	02	01	H3307_002_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H3307	012	0	1	02	01	H3307_012_0	5	2								2							2				1	11	180.00	180.00	180.00	180.00	2	1	2																																							
H3307	015	0	1	02	01	H3307_015_0	5	2								2							2				1	11	125.00	125.00	125.00	125.00	2	1	2																																							
H3307	018	0	1	02	01	H3307_018_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H3307	023	0	1	02	01	H3307_023_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H3307	802	0	1	01	01	H3307_802_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3307	804	0	1	01	01	H3307_804_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3307	805	0	1	01	01	H3307_805_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3312	002	0	1	01	01	H3312_002_0	8	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H3312	018	0	1	01	01	H3312_018_0	7	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	2																																							
H3312	048	0	1	01	01	H3312_048_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H3312	062	0	1	02	01	H3312_062_0	8	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H3312	064	0	1	01	01	H3312_064_0	8	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H3312	065	0	1	02	01	H3312_065_0	7	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	2																																							
H3312	069	0	1	01	01	H3312_069_0	7	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3312	070	0	1	01	01	H3312_070_0	7	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3312	072	0	1	01	01	H3312_072_0	8	2								2							2				1	11	245.00	245.00	245.00	245.00	2	1	2																																							
H3312	073	0	1	01	01	H3312_073_0	7	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3312	074	0	1	01	01	H3312_074_0	7	2								2							2				1	11	255.00	255.00	255.00	255.00	2	1	2																																							
H3312	801	0	1	01	01	H3312_801_0	8	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3312	804	0	1	01	01	H3312_804_0	8	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3321	001	0	1	20	08	H3321_001_0	1																																																																			
H3321	003	0	1	20	08	H3321_003_0	1																																																																			
H3322	001	0	1	20	08	H3322_001_0	1																																																																			
H3322	002	0	1	20	08	H3322_002_0	1																																																																			
H3329	001	0	1	20	08	H3329_001_0	1																																																																			
H3329	002	0	1	20	08	H3329_002_0	1																																																																			
H3330	021	1	1	01	01	H3330_021_1	10	2								1	10			20	20	2	2				1	01	100.00	100.00			2	1	2																																							
H3330	021	2	1	01	01	H3330_021_2	9	2								1	10			20	20	2	2				1	01	100.00	100.00			2	1	2																																							
H3330	021	3	1	01	01	H3330_021_3	9	2								1	10			20	20	2	2				1	01	100.00	100.00			2	1	2																																							
H3330	038	0	1	01	01	H3330_038_0	10	2								1	10			20	20	2	2				1	01	75.00	75.00			2	1	2																																							
H3330	045	0	1	01	01	H3330_045_0	9	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H3330	814	0	1	01	01	H3330_814_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3330	815	0	1	01	01	H3330_815_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3330	820	0	1	02	01	H3330_820_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3330	821	0	1	02	01	H3330_821_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3331	001	0	1	20	08	H3331_001_0	1																																																																			
H3331	002	0	1	20	08	H3331_002_0	1																																																																			
H3335	015	0	1	04	01	H3335_015_0	5	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	2											2	2	12	3		1			001011		2				2				2			2		2			2	2
H3335	018	0	1	04	01	H3335_018_0	5	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H3335	038	0	1	04	01	H3335_038_0	5	2								2							2				1	11	240.00	240.00	240.00	240.00	2	1	1	2											2	2	12	3		1			001011		2				2				2			2		2			2	2
H3335	043	0	1	04	01	H3335_043_0	4	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	2											2	2	12	3		1			001011		2				2				2			2		2			2	2
H3335	044	0	1	04	01	H3335_044_0	4	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	2											2	2	12	3		1			001011		2				2				2			2		2			2	2
H3335	053	0	1	04	01	H3335_053_0	5	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H3335	055	0	1	04	01	H3335_055_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H3335	056	0	1	04	01	H3335_056_0	6	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H3335	057	0	1	04	01	H3335_057_0	6	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H3335	058	0	1	04	01	H3335_058_0	6	2								2							2				1	11	305.00	305.00	305.00	305.00	2	1	1	2											2	2	12	3		1			001011		2				2				2			2		2			2	2
H3335	801	0	1	04	01	H3335_801_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3335	811	0	1	04	01	H3335_811_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3335	813	0	1	04	01	H3335_813_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3335	819	0	1	04	01	H3335_819_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3335	820	0	1	04	01	H3335_820_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3335	822	0	1	04	01	H3335_822_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3342	023	1	1	04	01	H3342_023_1	6	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	2																																							
H3342	023	2	1	04	01	H3342_023_2	6	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	2																																							
H3344	005	0	1	04	01	H3344_005_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H3344	010	0	1	04	01	H3344_010_0	7	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	2																																							
H3344	012	0	1	04	01	H3344_012_0	8	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H3344	801	0	1	04	01	H3344_801_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H3344	804	0	1	04	01	H3344_804_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H3344	805	0	1	04	01	H3344_805_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H3347	002	0	1	02	01	H3347_002_0	10	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			010110												2				2				2			2		1	0.00	0.00	2	2
H3347	003	0	1	02	01	H3347_003_0	11	2								1	11	20	20	20	20	2	2				2							2	1	1	2	1				1			011111												1	1000.00	5		2				2			2		1	0.00	0.00	2	2
H3347	007	0	1	02	01	H3347_007_0	10	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3347	009	0	1	02	01	H3347_009_0	10	2								2							2				1	11	215.00	215.00	215.00	215.00	2	1	1	1	2	2	32	3		1			010110												2				2				2			2		1	0.00	0.00	2	2
H3347	015	0	1	02	01	H3347_015_0	9	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			011111												1	1000.00	5		2				2			2		1	0.00	0.00	2	2
H3347	016	0	1	02	01	H3347_016_0	10	2								2							2				1	11	215.00	215.00	215.00	215.00	2	1	1	1	2	2	48	3		1			010110												2				2				2			2		1	0.00	0.00	2	2
H3347	018	0	1	02	01	H3347_018_0	9	2								1	10			20	20	2	2				1	01	100.00	100.00			2	1	1	1	2	1				1			011111												1	1000.00	5		2				2			2		1	0.00	0.00	2	2
H3351	001	0	1	02	01	H3351_001_0	5	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	2											2	2	12	3		1			001011		2				2				2			2		2			2	2
H3351	002	0	1	02	01	H3351_002_0	6	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	2											2	2	12	3		1			001011		2				2				2			2		2			2	2
H3351	006	0	1	02	01	H3351_006_0	6	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	2											2	2	12	3		1			001011		2				2				2			2		2			2	2
H3351	007	0	1	02	01	H3351_007_0	5	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	2											2	2	12	3		1			001101		2				2				2			2		2			2	2
H3351	012	0	1	02	01	H3351_012_0	6	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	2											2	2	12	3		1			001011		2				2				2			2		2			2	2
H3351	013	0	1	02	01	H3351_013_0	6	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	2											2	2	12	3		1			001011		2				2				2			2		2			2	2
H3351	016	0	1	01	01	H3351_016_0	6	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H3351	017	0	1	01	01	H3351_017_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H3351	018	0	1	02	01	H3351_018_0	6	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	2																																							
H3351	019	0	1	02	01	H3351_019_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	2											2	2	12	3		1			001011		2				2				2			2		2			2	2
H3351	020	0	1	01	01	H3351_020_0	6	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H3351	021	0	1	01	01	H3351_021_0	6	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H3351	801	0	1	02	01	H3351_801_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3351	802	0	1	02	01	H3351_802_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3351	803	0	1	02	01	H3351_803_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3351	804	0	1	02	01	H3351_804_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3351	805	0	1	02	01	H3351_805_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3351	806	0	1	02	01	H3351_806_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3359	001	0	1	01	01	H3359_001_0	12	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H3359	019	0	1	01	01	H3359_019_0	12	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	40	3		1			110010	The plan will cover mass transit and ambulatory vehicles (sedan, van, taxi). Transportation services  must be arranged through Healthfirsts transportation vendor.											2				2				2			2		2			1	2
H3359	021	0	1	01	01	H3359_021_0	17	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	28	3		1			110010	The plan will cover mass transit and ambulatory vehicles (sedan, van, taxi). Transportation services  must be arranged through Healthfirsts transportation vendor.											2				2				2			2		2			1	2
H3359	034	0	1	01	01	H3359_034_0	11	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3359	038	0	1	01	01	H3359_038_0	12	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3359	808	0	1	01	01	H3359_808_0	8	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3359	809	0	1	01	01	H3359_809_0	8	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3362	016	0	1	01	01	H3362_016_0	5	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	2	2	24	3		1			100000	passenger vehicles, vans & buses scheduled through our transportation provider.											2				2				2			2		2			1	2
H3362	017	0	1	01	01	H3362_017_0	7	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	12	3		1			100000	passenger vehicles, vans & buses.											2				2				2			2		2			1	2
H3362	020	0	1	01	01	H3362_020_0	7	2								1	10			20	20	2	2				1	01	80.00	80.00			2	1	1	1	2	2	36	3		1			100000	passenger vehicles, vans & buses.											2				2				2			2		2			1	2
H3362	033	0	1	01	01	H3362_033_0	8	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	6	3		1			100000	passenger vehicles, vans and buses											2				2				2			2		2			1	2
H3362	038	0	1	01	01	H3362_038_0	9	2								2							2				1	11	240.00	240.00	240.00	240.00	2	1	2																																							
H3362	039	0	1	01	01	H3362_039_0	7	2								2							2				1	11	240.00	240.00	240.00	240.00	2	1	2																																							
H3362	040	0	1	01	01	H3362_040_0	7	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	12	3		1			100000	passenger vehicles, vans & buses.											2				2				2			2		2			1	2
H3362	801	0	1	01	01	H3362_801_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H3362	807	0	1	02	01	H3362_807_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H3362	819	0	1	02	01	H3362_819_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H3362	820	0	1	01	01	H3362_820_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H3362	822	0	1	02	01	H3362_822_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H3379	001	0	1	02	01	H3379_001_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H3379	002	0	1	01	01	H3379_002_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	12	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H3379	022	0	1	02	01	H3379_022_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H3379	039	0	1	02	01	H3379_039_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H3379	040	0	1	02	01	H3379_040_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H3379	041	0	1	02	01	H3379_041_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H3379	043	0	1	02	01	H3379_043_0	4	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H3379	045	0	1	02	01	H3379_045_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H3379	046	0	1	02	01	H3379_046_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H3379	050	0	1	02	01	H3379_050_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H3379	051	0	1	02	01	H3379_051_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H3384	013	0	1	01	01	H3384_013_0	9	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	2																																							
H3384	019	0	1	01	01	H3384_019_0	8	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	2																																							
H3384	022	0	1	01	01	H3384_022_0	6	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	2																																							
H3384	058	0	1	01	01	H3384_058_0	8	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H3384	059	0	1	01	01	H3384_059_0	8	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H3384	062	0	1	01	01	H3384_062_0	8	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	2																																							
H3384	063	0	1	01	01	H3384_063_0	8	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H3384	067	0	1	01	01	H3384_067_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H3384	805	0	1	01	01	H3384_805_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3384	806	0	1	01	01	H3384_806_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3384	811	0	1	02	01	H3384_811_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3384	812	0	1	02	01	H3384_812_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3384	813	0	1	01	01	H3384_813_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3387	013	0	1	01	01	H3387_013_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3387	014	1	1	02	01	H3387_014_1	3	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H3387	014	2	1	02	01	H3387_014_2	3	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	12	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H3387	015	1	1	02	01	H3387_015_1	3	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H3387	015	2	1	02	01	H3387_015_2	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3388	001	0	1	01	01	H3388_001_0	3	2								2							2				1	11	165.00	165.00	165.00	165.00	2	1	1	1	2	1				2			000001												2				2				2			2		2			1	2
H3388	002	0	1	01	01	H3388_002_0	6	2								2							2				1	11	165.00	165.00	165.00	165.00	2	1	1	1	2	1				2			000001												2				2				2			2		2			1	2
H3388	004	0	1	01	01	H3388_004_0	5	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	1				2			000001												2				2				2			2		2			1	2
H3388	013	0	1	01	01	H3388_013_0	5	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	1	1	2	1				2			000001												2				2				2			2		2			1	2
H3388	014	0	1	01	01	H3388_014_0	5	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	1	1	2	1				2			000001												2				2				2			2		2			1	2
H3388	018	0	1	01	01	H3388_018_0	7	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	1	1	2	1				2			000001												2				2				2			2		2			1	2
H3388	801	0	1	01	01	H3388_801_0	1	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3388	803	0	1	01	01	H3388_803_0	1	2								1	11	20	20	20	20	2	2				2							2	2																																							
H3388	804	0	1	01	01	H3388_804_0	1	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3404	003	1	1	04	01	H3404_003_1	6	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	2											2	2	24	3		1			011010		2				2				2			2		1	0.00	0.00	2	2
H3404	003	2	1	04	01	H3404_003_2	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	2											2	2	24	3		1			011010		2				2				2			2		1	0.00	0.00	2	2
H3404	004	0	1	04	01	H3404_004_0	6	2								1	11	20	20	20	20	2	2				2							1	1	2											2	2	24	3		1			001011		2				2				2			2		1	0.00	0.00	2	2
H3404	801	0	1	04	01	H3404_801_0	6	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3404	810	0	1	04	01	H3404_810_0	6	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3404	811	0	1	04	01	H3404_811_0	6	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3407	001	0	1	01	01	H3407_001_0	8	2								1	11	20	20	20	20	2	2				2							1	1	2											2	2	96	3		1			011011		2				2				2			2		2			2	2
H3416	001	6	1	04	01	H3416_001_6	4	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H3416	001	7	1	04	01	H3416_001_7	4	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H3416	002	4	1	04	01	H3416_002_4	5	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	2																																							
H3416	002	5	1	04	01	H3416_002_5	5	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	2																																							
H3416	801	0	1	04	01	H3416_801_0	1	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3416	803	0	1	04	01	H3416_803_0	1	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3418	001	0	1	04	01	H3418_001_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H3418	002	0	1	04	01	H3418_002_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H3418	003	0	1	04	01	H3418_003_0	5	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	2																																							
H3418	004	0	1	04	01	H3418_004_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H3418	005	0	1	04	01	H3418_005_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H3418	006	0	1	04	01	H3418_006_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H3418	007	0	1	04	01	H3418_007_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H3418	008	0	1	04	01	H3418_008_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H3418	009	0	1	04	01	H3418_009_0	5	2								2							2				1	11	195.00	195.00	195.00	195.00	2	1	2																																							
H3418	010	0	1	04	01	H3418_010_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H3419	001	0	1	01	01	H3419_001_0	11	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3419	003	0	1	01	01	H3419_003_0	10	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H3419	004	0	1	01	01	H3419_004_0	11	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H3430	001	0	1	20	08	H3430_001_0	1																																																																			
H3430	002	0	1	20	08	H3430_002_0	1																																																																			
H3443	001	0	1	01	01	H3443_001_0	16	2								2							2				1	11	100.00	100.00	100.00	100.00	1	1	1	1	2	2	24	3		1			000010												2				2				2			2		2			2	2
H3443	002	0	1	01	01	H3443_002_0	16	2								2							2				1	11	100.00	100.00	100.00	100.00	1	1	1	1	2	2	24	3		1			000010												2				2				2			2		2			2	2
H3443	003	0	1	01	01	H3443_003_0	14	2								2							2				1	11	100.00	100.00	100.00	100.00	1	1	1	1	2	2	32	3		1			000010												2				2				2			2		2			1	1
H3443	005	0	1	01	01	H3443_005_0	12	2								2							2				1	11	100.00	100.00	200.00	200.00	1	1	2																																							
H3443	006	0	1	01	01	H3443_006_0	13	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			000010												2				2				2			2		2			1	1
H3443	801	0	1	01	01	H3443_801_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3443	802	0	1	01	01	H3443_802_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3443	803	0	1	01	01	H3443_803_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3443	804	0	1	01	01	H3443_804_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3447	001	0	1	01	01	H3447_001_0	8	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	42	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H3447	003	0	1	01	01	H3447_003_0	7	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	24	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H3447	004	0	1	01	01	H3447_004_0	6	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	68	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H3447	005	0	1	01	01	H3447_005_0	6	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H3447	010	0	1	01	01	H3447_010_0	6	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	4	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H3447	011	0	1	01	01	H3447_011_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	108	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H3447	013	0	1	01	01	H3447_013_0	8	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H3447	018	0	1	01	01	H3447_018_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	210	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H3447	020	0	1	01	01	H3447_020_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	120	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H3447	024	0	1	01	01	H3447_024_0	11	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	84	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H3447	025	0	1	01	01	H3447_025_0	7	2								1	10			20	20	2	2				1	01	325.00	325.00			2	1	1	1	2	2	72	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H3447	026	0	1	01	01	H3447_026_0	7	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H3447	028	0	1	01	01	H3447_028_0	7	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	2	84	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H3447	030	0	1	01	01	H3447_030_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H3447	033	0	1	01	01	H3447_033_0	6	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	1	1	2	2	120	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H3447	037	0	1	01	01	H3447_037_0	8	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	72	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H3447	038	1	1	01	01	H3447_038_1	7	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H3447	038	2	1	01	01	H3447_038_2	8	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H3447	039	0	1	01	01	H3447_039_0	8	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	1	1	2	2	72	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H3447	042	1	1	01	01	H3447_042_1	9	2								2							2				1	11	280.00	280.00	280.00	280.00	2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H3447	042	2	1	01	01	H3447_042_2	9	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H3447	042	3	1	01	01	H3447_042_3	10	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H3447	042	4	1	01	01	H3447_042_4	9	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H3447	043	0	1	01	01	H3447_043_0	10	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	120	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H3447	044	0	1	01	01	H3447_044_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H3447	045	0	1	01	01	H3447_045_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H3447	046	0	1	01	01	H3447_046_0	6	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	84	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H3447	047	0	1	01	01	H3447_047_0	6	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	108	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H3447	048	0	1	01	01	H3447_048_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	120	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H3447	804	0	1	01	01	H3447_804_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3447	805	0	1	01	01	H3447_805_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3447	806	0	2	01	01	H3447_806_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3447	807	0	2	01	01	H3447_807_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3447	809	0	1	01	01	H3447_809_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3447	811	0	1	01	01	H3447_811_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3447	812	0	1	01	01	H3447_812_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3447	813	0	2	01	01	H3447_813_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3447	814	0	2	01	01	H3447_814_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3447	816	0	1	01	01	H3447_816_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3447	818	0	1	01	01	H3447_818_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3447	819	0	1	01	01	H3447_819_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3447	820	0	2	01	01	H3447_820_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3447	821	0	2	01	01	H3447_821_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3447	823	0	1	01	01	H3447_823_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3447	825	0	2	01	01	H3447_825_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3447	826	0	2	01	01	H3447_826_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3447	827	0	2	01	01	H3447_827_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3449	012	0	1	02	01	H3449_012_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	2											2	2	24	3		1			001011		2				2				2			2		1	0.00	0.00	2	2
H3449	023	1	1	02	01	H3449_023_1	10	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	2											2	2	24	3		1			001011		2				2				2			2		1	0.00	0.00	2	2
H3449	023	2	1	02	01	H3449_023_2	10	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	2											2	2	24	3		1			001011		2				2				2			2		1	0.00	0.00	2	2
H3449	023	4	1	02	01	H3449_023_4	10	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	2											2	2	24	3		1			001011		2				2				2			2		1	0.00	0.00	2	2
H3449	023	5	1	02	01	H3449_023_5	10	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	2											2	2	24	3		1			001011		2				2				2			2		1	0.00	0.00	2	2
H3449	024	1	1	02	01	H3449_024_1	10	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	2											2	2	24	3		1			001011		2				2				2			2		1	0.00	0.00	2	2
H3449	024	2	1	02	01	H3449_024_2	10	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	2											2	2	24	3		1			001011		2				2				2			2		1	0.00	0.00	2	2
H3449	024	3	1	02	01	H3449_024_3	10	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	2											2	2	24	3		1			001011		2				2				2			2		1	0.00	0.00	2	2
H3449	026	0	1	01	01	H3449_026_0	11	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H3449	027	1	1	01	01	H3449_027_1	10	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H3449	027	2	1	01	01	H3449_027_2	10	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H3449	805	0	1	01	01	H3449_805_0	7	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3449	814	0	1	01	01	H3449_814_0	7	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3449	815	0	1	01	01	H3449_815_0	7	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3467	001	0	1	02	01	H3467_001_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3471	001	0	1	01	01	H3471_001_0	7	2								2							2				1	11	450.00	450.00	450.00	450.00	2	1	2																																							
H3471	002	0	1	01	01	H3471_002_0	6	2								2							2				1	11	400.00	400.00	400.00	400.00	2	1	2																																							
H3471	003	0	1	01	01	H3471_003_0	5	2								2							2				1	11	475.00	475.00	475.00	475.00	2	1	2																																							
H3471	004	0	1	01	01	H3471_004_0	6	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H3471	005	0	1	01	01	H3471_005_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H3471	006	0	1	01	01	H3471_006_0	4	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H3471	010	0	1	01	01	H3471_010_0	6	2								2							2				1	11	475.00	475.00	475.00	475.00	2	1	2																																							
H3471	017	0	1	01	01	H3471_017_0	6	2								2							2				1	11	495.00	495.00	495.00	495.00	2	1	2																																							
H3471	018	0	1	02	01	H3471_018_0	6	2								2							2				1	11	475.00	475.00	475.00	475.00	2	1	2																																							
H3471	019	0	1	02	01	H3471_019_0	6	2								2							2				1	11	500.00	500.00	500.00	500.00	2	1	2																																							
H3471	801	0	1	01	01	H3471_801_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3471	802	0	1	01	01	H3471_802_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3471	803	0	1	01	01	H3471_803_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3471	804	0	1	02	01	H3471_804_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3471	805	0	1	02	01	H3471_805_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3471	806	0	1	02	01	H3471_806_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3473	001	0	1	20	08	H3473_001_0	1																																																																			
H3473	002	0	1	20	08	H3473_002_0	1																																																																			
H3493	001	0	1	20	08	H3493_001_0	1																																																																			
H3493	002	0	1	20	08	H3493_002_0	1																																																																			
H3499	002	0	1	01	01	H3499_002_0	6	2								2							2				1	11	285.00	285.00	285.00	285.00	2	1	1	1	2	2	36	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H3499	005	0	1	01	01	H3499_005_0	17	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H3499	008	0	1	01	01	H3499_008_0	6	2								2							2				1	11	285.00	285.00	285.00	285.00	2	1	1	1	2	2	48	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H3517	001	0	1	20	08	H3517_001_0	1																																																																			
H3517	002	0	1	20	08	H3517_002_0	1																																																																			
H3522	001	0	1	20	08	H3522_001_0	1																																																																			
H3522	002	0	1	20	08	H3522_002_0	1																																																																			
H3528	003	0	1	02	01	H3528_003_0	7	2								1	10			20	20	2	2				1	01	50.00	50.00			2	1	2																																							
H3528	010	0	1	02	01	H3528_010_0	12	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	2																																							
H3528	011	1	1	02	01	H3528_011_1	10	2								1	10			20	20	2	2				1	01	325.00	325.00			2	1	2																																							
H3528	011	2	1	02	01	H3528_011_2	11	2								1	10			20	20	2	2				1	01	325.00	325.00			2	1	2																																							
H3528	014	0	1	02	01	H3528_014_0	12	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	2																																							
H3528	015	0	1	02	01	H3528_015_0	10	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H3528	016	0	1	02	01	H3528_016_0	10	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	2																																							
H3528	801	0	1	01	01	H3528_801_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3528	805	0	1	01	01	H3528_805_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3528	806	0	1	02	01	H3528_806_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3528	807	0	1	02	01	H3528_807_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3533	002	0	1	01	01	H3533_002_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	48	3		1			101010	Services arranged by the plan's transportation provider to approved locations by means of car, van, or wheelchair access vehicle that provide members access to health benefits. This benefit is not to											2				2				2			2		1	0.00	0.00	1	2
H3533	006	0	1	01	01	H3533_006_0	6	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H3533	010	0	1	01	01	H3533_010_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H3533	013	0	1	01	01	H3533_013_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H3533	027	0	1	01	01	H3533_027_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H3533	032	1	1	01	01	H3533_032_1	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	36	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H3533	032	2	1	01	01	H3533_032_2	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	36	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H3533	033	0	1	01	01	H3533_033_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H3533	034	1	1	01	01	H3533_034_1	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H3533	034	2	1	01	01	H3533_034_2	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H3533	802	0	1	01	01	H3533_802_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3533	803	0	1	01	01	H3533_803_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3533	805	0	1	01	01	H3533_805_0	7	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3533	806	0	1	01	01	H3533_806_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3536	002	0	1	01	01	H3536_002_0	9	2								2							2				1	11	360.00	360.00	360.00	360.00	2	1	2																																							
H3536	004	0	1	01	01	H3536_004_0	8	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H3536	006	0	1	01	01	H3536_006_0	7	2								1	10			20	20	2	2				1	01	280.00	280.00			2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H3536	801	0	1	01	01	H3536_801_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3536	802	0	1	01	01	H3536_802_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3536	803	0	2	01	01	H3536_803_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3536	804	0	2	01	01	H3536_804_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3536	806	0	1	01	01	H3536_806_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3536	808	0	2	01	01	H3536_808_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3551	001	0	1	01	01	H3551_001_0	8	2								2							2				1	11	255.00	255.00	255.00	255.00	1	1	1	1	2	1				2			011001												2				2				2			2		2			2	2
H3551	002	0	1	01	01	H3551_002_0	8	2								2							2				1	11	270.00	270.00	270.00	270.00	1	1	1	1	2	1				2			011001												2				2				2			2		2			2	2
H3551	003	0	1	02	01	H3551_003_0	6	2								1	11	20	20	20	20	1	2				2							1	1	1	2	1				2			011001												2				2				2			2		2			2	2
H3554	002	0	1	04	01	H3554_002_0	5	2								1	10			20	20	2	2				1	01	325.00	325.00			2	2	2																																							
H3554	007	0	1	04	01	H3554_007_0	4	2								1	10			20	20	2	2				1	01	325.00	325.00			2	2	2																																							
H3554	011	0	1	04	01	H3554_011_0	2	2								1	10			20	20	2	2				1	01	325.00	325.00			2	2	2																																							
H3554	801	0	1	04	01	H3554_801_0	1	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3554	802	0	1	04	01	H3554_802_0	1	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3554	803	0	1	04	01	H3554_803_0	1	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3554	804	0	1	04	01	H3554_804_0	1	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3557	001	0	1	04	01	H3557_001_0	9	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	2	2	24	3		1			101011	Vehicles to include a combination of ride share, vans, and/or medical transportation.											2				2				2			2		2			2	2
H3557	801	0	1	04	01	H3557_801_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3557	802	0	1	04	01	H3557_802_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3557	803	0	1	04	01	H3557_803_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3561	001	0	1	01	01	H3561_001_0	17	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H3561	007	0	1	01	01	H3561_007_0	17	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H3561	008	0	1	01	01	H3561_008_0	17	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H3561	009	0	1	01	01	H3561_009_0	17	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H3563	001	0	1	20	08	H3563_001_0	1																																																																			
H3563	002	0	1	20	08	H3563_002_0	1																																																																			
H3597	001	0	1	01	01	H3597_001_0	8	2								2							2				1	11	290.00	290.00	295.00	295.00	2	1	2																																							
H3597	007	0	1	01	01	H3597_007_0	8	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	2																																							
H3597	009	0	1	01	01	H3597_009_0	9	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H3597	011	0	1	02	01	H3597_011_0	8	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3597	012	0	1	02	01	H3597_012_0	8	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3597	014	0	1	01	01	H3597_014_0	8	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	2																																							
H3597	801	0	1	01	01	H3597_801_0	8	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3597	802	0	1	01	01	H3597_802_0	8	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3613	001	0	1	20	08	H3613_001_0	1																																																																			
H3613	002	0	1	20	08	H3613_002_0	1																																																																			
H3653	004	0	1	02	01	H3653_004_0	9	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H3653	015	0	1	02	01	H3653_015_0	8	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H3653	018	0	1	02	01	H3653_018_0	5	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H3653	022	0	1	02	01	H3653_022_0	8	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H3653	024	0	1	02	01	H3653_024_0	9	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H3653	026	0	1	02	01	H3653_026_0	8	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H3653	027	0	1	02	01	H3653_027_0	8	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H3653	803	0	1	01	01	H3653_803_0	1	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3653	806	0	2	01	01	H3653_806_0	1	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3653	809	0	1	01	01	H3653_809_0	1	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3655	033	0	1	01	01	H3655_033_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	156	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H3655	034	0	1	01	01	H3655_034_0	10	2								2							2				1	11	255.00	255.00	255.00	255.00	2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H3655	041	0	1	01	01	H3655_041_0	9	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	1	1	2	2	72	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H3655	042	0	1	01	01	H3655_042_0	9	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H3655	045	1	1	01	01	H3655_045_1	10	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H3655	045	2	1	01	01	H3655_045_2	10	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H3655	045	3	1	01	01	H3655_045_3	9	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H3655	045	4	1	01	01	H3655_045_4	14	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H3655	047	0	1	01	01	H3655_047_0	10	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	1	1	2	2	120	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H3655	048	0	1	01	01	H3655_048_0	6	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	1	1	2	2	84	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H3655	801	0	1	01	01	H3655_801_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3655	803	0	1	01	01	H3655_803_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3655	805	0	2	01	01	H3655_805_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3655	806	0	2	01	01	H3655_806_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3655	808	0	1	01	01	H3655_808_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3655	810	0	2	01	01	H3655_810_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3660	028	0	1	02	01	H3660_028_0	7	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	12	3		1			101000	Levels of transport are dependent on the members need: Rideshare service, Sedan Transport & Ambulette (wheelchair or stretcher). Advance notice is required for Sedan & Ambulettes. See EOC for details											2				2				2			2		2			2	2
H3660	029	0	1	02	01	H3660_029_0	7	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	10	3		1			101000	Levels of transport are dependent on the members need: Rideshare service, Sedan Transport & Ambulette (wheelchair or stretcher). Advance notice is required for Sedan & Ambulettes. See EOC for details											2				2				2			2		2			2	2
H3660	044	0	1	01	01	H3660_044_0	7	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	6	3		1			101000	Levels of transport are dependent on the members need: Rideshare service, Sedan Transport & Ambulette (wheelchair or stretcher). Advance notice is required for Sedan & Ambulettes. See EOC for detail											2				2				2			2		2			2	2
H3660	050	0	1	01	01	H3660_050_0	9	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	6	3		1			101000	Levels of transport are dependent on the members need: Rideshare service, Sedan Transport & Ambulette (wheelchair or stretcher). Advance notice is required for Sedan & Ambulettes. See EOC for details											2				2				2			2		2			2	2
H3660	052	1	1	01	01	H3660_052_1	7	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	50	3		1			101000	Levels of transport are dependent on the members need: Rideshare service, Sedan Transport & Ambulette (wheelchair or stretcher). Advance notice is required for Sedan & Ambulettes. See EOC for details											2				2				2			2		2			2	2
H3660	052	2	1	01	01	H3660_052_2	7	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	6	3		1			101000	Levels of transport are dependent on the members need: Rideshare service, Sedan Transport & Ambulette (wheelchair or stretcher). Advance notice is required for Sedan & Ambulettes. See EOC for details											2				2				2			2		2			2	2
H3660	053	1	1	01	01	H3660_053_1	9	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	8	3		1			101000	Levels of transport are dependent on the members need: Rideshare service, Sedan Transport & Ambulette (wheelchair or stretcher). Advance notice is required for Sedan & Ambulettes. See EOC for details											2				2				2			2		2			2	2
H3660	053	2	1	01	01	H3660_053_2	9	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	8	3		1			101000	Levels of transport are dependent on the members need: Rideshare service, Sedan Transport & Ambulette (wheelchair or stretcher). Advance notice is required for Sedan & Ambulettes. See EOC for details											2				2				2			2		2			2	2
H3660	056	1	1	01	01	H3660_056_1	9	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	24	3		1			101000	Levels of transport are dependent on the members need: Rideshare service, Sedan Transport & Ambulette (wheelchair or stretcher). Advance notice is required for Sedan & Ambulettes. See EOC for details											2				2				2			2		2			2	2
H3660	056	2	1	01	01	H3660_056_2	10	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101000	Levels of transport are dependent on the members need: Rideshare service, Sedan Transport & Ambulette (wheelchair or stretcher). Advance notice is required for Sedan & Ambulettes. See EOC for details											2				2				2			2		2			2	2
H3660	801	0	1	01	01	H3660_801_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H3660	802	0	1	01	01	H3660_802_0	2	2								1	11	20	20	20	20	2	2				2							2	2																																							
H3660	805	0	1	02	01	H3660_805_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H3660	806	0	1	02	01	H3660_806_0	2	2								1	11	20	20	20	20	2	2				2							2	2																																							
H3664	014	0	1	02	01	H3664_014_0	10	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	2																																							
H3664	017	0	1	02	01	H3664_017_0	13	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	2																																							
H3664	020	0	1	02	01	H3664_020_0	13	2								2							2				1	11	210.00	210.00	210.00	210.00	2	1	2																																							
H3664	021	0	1	02	01	H3664_021_0	13	2								2							2				1	11	230.00	230.00	230.00	230.00	2	1	2																																							
H3664	023	0	1	02	01	H3664_023_0	13	2								2							2				1	11	230.00	230.00	230.00	230.00	2	1	2																																							
H3664	801	0	1	02	01	H3664_801_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3664	802	0	1	02	01	H3664_802_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3664	803	0	1	02	01	H3664_803_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3664	805	0	2	02	01	H3664_805_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3664	806	0	2	02	01	H3664_806_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3664	807	0	1	02	01	H3664_807_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3668	013	0	1	01	01	H3668_013_0	6	2								2							2				1	11	200.00	200.00	250.00	250.00	2	1	1	1	2	1				2			111011	Other modes include any special transport requirements for medically fragile or physically/mentally challenged members, using the considerations identified on the members medical needs documentation.											2				2				2			2		1	0.00	0.00	2	2
H3668	018	1	1	01	01	H3668_018_1	8	2								2							2				1	11	200.00	200.00	250.00	250.00	2	1	1	1	2	1				2			111011	Other modes include any special transport requirements for medically fragile or physically/mentally challenged members, using the considerations identified on the members medical needs documentation.											2				2				2			2		1	0.00	0.00	2	2
H3668	018	2	1	01	01	H3668_018_2	8	2								2							2				1	11	200.00	200.00	250.00	250.00	2	1	1	1	2	1				2			111011	Other modes include any special transport requirements for medically fragile or physically/mentally challenged members, using the considerations identified on the members medical needs documentation.											2				2				2			2		1	0.00	0.00	2	2
H3668	019	1	1	01	01	H3668_019_1	8	2								2							2				1	11	250.00	250.00	300.00	300.00	2	1	1	1	2	1				2			111011	Other modes include any special transport requirements for medically fragile or physically/mentally challenged members, using the considerations identified on the members medical needs documentation.											2				2				2			2		1	0.00	0.00	2	2
H3668	019	2	1	01	01	H3668_019_2	8	2								2							2				1	11	250.00	250.00	300.00	300.00	2	1	1	1	2	1				2			111011	Other modes include any special transport requirements for medically fragile or physically/mentally challenged members, using the considerations identified on the members medical needs documentation.											2				2				2			2		1	0.00	0.00	2	2
H3668	020	0	1	01	01	H3668_020_0	8	2								2							2				1	11	200.00	200.00	250.00	250.00	2	1	1	1	2	1				2			111011	Other modes include any special transport requirements for medically fragile or physically/mentally challenged members, using the considerations identified on the members medical needs documentation.											2				2				2			2		1	0.00	0.00	2	2
H3668	022	0	1	01	01	H3668_022_0	8	2								2							2				1	11	200.00	200.00	250.00	250.00	2	1	1	1	2	1				2			111011	Other modes include any special transport requirements for medically fragile or physically/mentally challenged members, using the considerations identified on the members medical needs documentation.											2				2				2			2		1	0.00	0.00	2	2
H3668	023	0	1	01	01	H3668_023_0	8	2								2							2				1	11	200.00	200.00	250.00	250.00	2	1	1	1	2	1				2			111011	Other modes include any special transport requirements for medically fragile or physically/mentally challenged members, using the considerations identified on the members medical needs documentation.											2				2				2			2		1	0.00	0.00	2	2
H3668	025	0	1	01	01	H3668_025_0	8	2								2							2				1	11	240.00	240.00	290.00	290.00	2	1	2																																							
H3668	026	0	1	01	01	H3668_026_0	8	2								2							2				1	11	220.00	220.00	270.00	270.00	2	1	2																																							
H3668	029	0	1	01	01	H3668_029_0	6	2								2							2				1	11	200.00	200.00	250.00	250.00	2	1	2																																							
H3668	030	0	1	01	01	H3668_030_0	8	2								2							2				1	11	300.00	300.00	350.00	350.00	2	1	2																																							
H3668	031	0	1	01	01	H3668_031_0	8	2								2							2				1	11	275.00	275.00	325.00	325.00	2	1	2																																							
H3668	802	0	1	01	01	H3668_802_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3668	803	0	1	01	01	H3668_803_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3668	804	0	1	01	01	H3668_804_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3668	811	0	1	01	01	H3668_811_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3668	812	0	1	01	01	H3668_812_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3672	013	0	1	01	01	H3672_013_0	13	2								2							2				1	11	200.00	200.00	500.00	500.00	2	1	1	2											2	2	35	3		2			011111		1	1000.00	3		2				2			2		2			1	2
H3672	014	0	1	01	01	H3672_014_0	13	2								2							2				1	11	200.00	200.00	500.00	500.00	2	1	1	2											2	2	35	3		2			011111		1	1000.00	3		2				2			2		2			1	2
H3672	019	0	1	01	01	H3672_019_0	13	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	35	3		2			011111												1	1000.00	3		2				2			2		2			2	2
H3672	020	0	1	01	01	H3672_020_0	13	2								2							2				1	11	250.00	250.00	500.00	500.00	2	1	1	2											2	2	35	3		2			011111		1	1000.00	3		2				2			2		2			1	2
H3672	021	0	1	01	01	H3672_021_0	13	2								2							2				1	11	250.00	250.00	500.00	500.00	2	1	1	2											2	2	35	3		2			011111		1	1000.00	3		2				2			2		2			1	2
H3672	023	0	1	01	01	H3672_023_0	12	2								2							2				1	11	250.00	250.00	500.00	500.00	2	1	1	2											2	2	35	3		2			011111		1	1000.00	3		2				2			2		2			1	2
H3672	024	0	1	01	01	H3672_024_0	13	2								2							2				1	11	250.00	250.00	500.00	500.00	2	1	1	2											2	2	35	3		2			011111		1	1000.00	3		2				2			2		2			1	2
H3672	805	0	1	01	01	H3672_805_0	1	2								1	10			20	20	2	2				2							1	2																																							
H3706	001	0	1	01	01	H3706_001_0	5	2								1	10			20	20	1	2				1	01	250.00	250.00			1	1	1	1	2	2	12	3		1			011011												2				2				2			2		2			2	2
H3706	009	0	1	02	01	H3706_009_0	2	2								1	10			20	20	1	2				1	01	240.00	240.00			1	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			2	2
H3706	023	0	1	01	01	H3706_023_0	5	2								1	10			20	20	1	2				1	01	250.00	250.00			1	1	1	1	2	2	12	3		1			011011												2				2				2			2		2			2	2
H3706	024	0	1	01	01	H3706_024_0	4	2								1	10			20	20	1	2				1	01	240.00	240.00			1	1	1	1	2	2	30	3		1			011011												2				2				2			2		2			2	2
H3706	025	0	1	01	01	H3706_025_0	6	2								1	10			20	20	1	2				1	01	240.00	240.00			1	1	1	1	2	2	30	3		1			011011												2				2				2			2		2			2	2
H3706	028	0	1	01	01	H3706_028_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			011011												2				2				2			2		2			2	2
H3706	029	0	1	01	01	H3706_029_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			011011												2				2				2			2		2			2	2
H3706	803	0	1	01	01	H3706_803_0	2	2								1	11	20	20	20	20	2	2				2							2	2																																							
H3708	001	0	1	01	01	H3708_001_0	4	2								1	11	20	20	20	20	2	2				2							1	1	2											2	2	40	3		1			000011		2				2				2			2		1	0.00	0.00	2	2
H3727	001	1	1	01	01	H3727_001_1	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			011111												2				2				2			2		2			1	2
H3727	001	2	1	01	01	H3727_001_2	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			011111												2				2				2			2		2			1	2
H3727	001	3	1	01	01	H3727_001_3	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			011111												2				2				2			2		2			1	2
H3727	002	1	1	01	01	H3727_002_1	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			010011												2				2				2			2		2			2	2
H3727	002	2	1	01	01	H3727_002_2	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			010011												2				2				2			2		2			2	2
H3727	002	3	1	01	01	H3727_002_3	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			010011												2				2				2			2		2			2	2
H3727	004	1	1	01	01	H3727_004_1	5	2								2							1	10		250.00	1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	24	3		1			011111												2				2				2			2		2			1	2
H3727	004	2	1	01	01	H3727_004_2	5	2								1	10			20	20	2	2				1	01	220.00	220.00			2	1	1	1	2	2	24	3		1			011111												2				2				2			2		2			1	2
H3727	004	3	1	01	01	H3727_004_3	5	2								2							2				1	11	220.00	220.00	220.00	220.00	2	1	1	1	2	2	24	3		1			011111												2				2				2			2		2			1	2
H3727	005	1	1	01	01	H3727_005_1	5	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H3727	005	2	1	01	01	H3727_005_2	5	2								1	10			20	20	2	2				1	01	220.00	220.00			2	1	2																																							
H3727	005	3	1	01	01	H3727_005_3	5	2								2							2				1	11	220.00	220.00	220.00	220.00	2	1	2																																							
H3748	001	0	1	02	01	H3748_001_0	7	2								2							2				1	11	255.00	255.00	255.00	255.00	2	1	2																																							
H3748	003	0	1	02	01	H3748_003_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H3748	004	0	1	02	01	H3748_004_0	7	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H3748	006	0	1	02	01	H3748_006_0	7	2								2							2				1	11	240.00	240.00	240.00	240.00	2	1	2																																							
H3748	007	0	1	02	01	H3748_007_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H3748	008	0	1	02	01	H3748_008_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H3748	009	0	1	02	01	H3748_009_0	7	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H3748	010	0	1	02	01	H3748_010_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H3748	013	0	1	02	01	H3748_013_0	7	2								2							2				1	11	240.00	240.00	240.00	240.00	2	1	2																																							
H3748	801	0	1	01	01	H3748_801_0	8	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3748	802	0	1	01	01	H3748_802_0	8	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3749	001	0	1	02	01	H3749_001_0	6	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	2																																							
H3749	017	0	1	02	01	H3749_017_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H3749	018	0	1	02	01	H3749_018_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H3749	020	0	1	02	01	H3749_020_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H3749	801	0	1	01	01	H3749_801_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3749	803	0	1	01	01	H3749_803_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3749	804	0	1	01	01	H3749_804_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3755	001	0	1	01	01	H3755_001_0	4	2								2							2				1	11	250.00	250.00	250.00	250.00	1	1	1	1	2	2	12	3		1			100010	Non-emergency transportation is provided by the plan's contracted transportation service provider using wheelchair vans and passenger automobiles.											2				2				2			2		2			2	2
H3755	002	0	1	01	01	H3755_002_0	5	2								2							2				1	11	25.00	25.00	25.00	25.00	1	1	1	1	2	2	12	3		1			100010	Non-emergency transportation is provided by the plan's contracted transportation service provider using wheelchair vans and passenger automobiles.											2				2				2			2		1	5.00	5.00	2	2
H3755	004	0	1	01	01	H3755_004_0	5	2								2							2				1	11	250.00	250.00	250.00	250.00	1	1	1	1	2	2	12	3		1			100010	Non-emergency transportation is provided by the plan's contracted transportation service provider using wheelchair vans and passenger automobiles.											2				2				2			2		1	5.00	5.00	2	2
H3755	005	0	1	01	01	H3755_005_0	4	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	12	3		1			100010	Non-emergency transportation is provided by the plan's contracted transportation service provider using wheelchair vans and passenger automobiles.											2				2				2			2		2			2	2
H3755	801	0	1	01	01	H3755_801_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3777	001	2	1	01	01	H3777_001_2	9	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	1	1	2	2	12	3		1			001011												2				2				2			2		1	0.00	0.00	2	2
H3777	001	3	1	01	01	H3777_001_3	9	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	1	1	2	2	12	3		1			001011												2				2				2			2		1	0.00	0.00	2	2
H3777	001	4	1	01	01	H3777_001_4	9	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	1	1	2	2	12	3		1			001011												2				2				2			2		1	0.00	0.00	2	2
H3794	002	0	1	02	01	H3794_002_0	3	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H3794	004	0	1	02	01	H3794_004_0	4	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H3800	001	0	1	01	01	H3800_001_0	5	2								1	11	20	20	20	20	2	2				2							2	1	2											2	2	28	3		1			011011		2				2				2			2		2			2	2
H3805	001	0	1	02	01	H3805_001_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H3805	015	0	1	02	01	H3805_015_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H3805	017	0	1	02	01	H3805_017_0	4	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H3805	032	0	1	02	01	H3805_032_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H3805	033	0	1	02	01	H3805_033_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H3805	034	0	1	02	01	H3805_034_0	5	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H3805	035	0	1	02	01	H3805_035_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H3805	037	0	1	02	01	H3805_037_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H3805	039	1	1	02	01	H3805_039_1	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H3805	039	2	1	02	01	H3805_039_2	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H3805	801	0	1	01	01	H3805_801_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3805	803	0	1	01	01	H3805_803_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3805	804	0	1	01	01	H3805_804_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3805	805	0	1	01	01	H3805_805_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3805	806	0	1	01	01	H3805_806_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3805	807	0	1	01	01	H3805_807_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3809	001	0	1	20	08	H3809_001_0	2																																																																			
H3809	002	0	1	20	08	H3809_002_0	2																																																																			
H3810	001	0	1	01	01	H3810_001_0	4	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	1	1	2	2	12	3		1			100000	Services to be provided through our exclusive contractor in our service area only.Services encompass all: Taxi, Van, Medical Transport (stretcher or wheelchair), or regular automobile.											2				2				2			2		1	15.00	15.00	2	2
H3810	003	0	1	01	01	H3810_003_0	11	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	1	1	2	2	12	3		1			100000	Services to be provided through our exclusive contractor in our service area only.Services encompass all: Taxi, Van, Medical Transport (stretcher or wheelchair), or regular automobile.											2				2				2			2		1	15.00	15.00	2	2
H3810	021	0	1	01	01	H3810_021_0	4	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	1	1	2	2	12	3		1			100000	Services to be provided through our exclusive contractor in our service area only.Services encompass all: Taxi, Van, Medical Transport (stretcher or wheelchair), or regular automobile.											2				2				2			2		1	15.00	15.00	2	2
H3810	022	0	1	01	01	H3810_022_0	8	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	1	1	2	2	12	3		1			100000	Services to be provided through our exclusive contractor in our service area only.Services encompass all: Taxi, Van, Medical Transport (stretcher or wheelchair), or regular automobile.											2				2				2			2		1	15.00	15.00	2	2
H3810	023	0	1	01	01	H3810_023_0	6	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3810	024	0	1	01	01	H3810_024_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	12	3		1			100000	Services to be provided through our exclusive contractor in our service area only.Services encompass all: Taxi, Van, Medical Transport (stretcher or wheelchair), or regular automobile.											2				2				2			2		1	15.00	15.00	2	2
H3811	001	0	1	01	01	H3811_001_0	3	2								1	10			20	20	2	2				1	01	250.00	250.00			2	2	1	2											2	1				1			000011		2				2				2			2		2			2	2
H3811	002	0	1	01	01	H3811_002_0	8	2								1	10			20	20	2	2				1	01	250.00	250.00			2	2	1	2											2	1				1			000011		2				2				2			2		2			2	2
H3811	003	0	1	01	01	H3811_003_0	6	2								1	11	20	20	20	20	2	2				2							2	1	2											2	2	24	3		1			000011		2				2				2			2		2			2	2
H3811	009	0	1	01	01	H3811_009_0	8	2								1	10			20	20	2	2				1	01	250.00	250.00			2	2	1	2											2	1				1			000011		2				2				2			2		2			2	2
H3813	001	0	1	04	01	H3813_001_0	8	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	2																																							
H3813	010	0	1	04	01	H3813_010_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H3813	012	0	1	04	01	H3813_012_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H3813	013	0	1	04	01	H3813_013_0	8	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H3813	014	0	1	04	01	H3813_014_0	7	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H3813	016	0	1	04	01	H3813_016_0	6	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H3813	017	0	1	04	01	H3813_017_0	6	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H3813	018	0	1	04	01	H3813_018_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H3813	019	0	1	04	01	H3813_019_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H3813	804	0	1	04	01	H3813_804_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3814	007	0	1	01	01	H3814_007_0	8	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			011011												2				2				2			2		2			2	2
H3814	030	0	1	01	01	H3814_030_0	10	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			011011												2				2				2			2		2			2	2
H3814	031	0	1	01	01	H3814_031_0	9	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		2			2	2
H3815	001	0	1	01	01	H3815_001_0	16	2								2							2				1	11	75.00	75.00	75.00	75.00	1	1	1	1	2	2	22	3		1			000010												2				2				2			2		2			1	1
H3815	007	0	1	01	01	H3815_007_0	19	2								2							2				1	11	175.00	175.00	175.00	175.00	1	1	1	1	2	2	12	3		1			000010												2				2				2			2		2			1	1
H3815	008	0	1	01	01	H3815_008_0	19	2								2							2				1	11	50.00	50.00	50.00	50.00	1	1	1	1	2	2	42	3		1			000010												2				2				2			2		2			1	1
H3815	010	0	1	01	01	H3815_010_0	16	2								2							2				1	11	100.00	100.00	100.00	100.00	1	1	1	1	2	2	50	3		1			000010												2				2				2			2		2			1	1
H3815	011	0	1	01	01	H3815_011_0	14	2								2							2				1	11	50.00	50.00	50.00	50.00	1	1	1	1	2	2	26	3		1			000010												2				2				2			2		2			1	1
H3815	013	0	1	01	01	H3815_013_0	15	2								2							2				1	11	100.00	100.00	200.00	200.00	1	1	2																																							
H3815	016	0	1	02	01	H3815_016_0	17	2								2							2				1	11	75.00	75.00	75.00	75.00	1	1	1	1	2	2	24	3		1			000010												2				2				2			2		2			1	1
H3815	019	0	1	01	01	H3815_019_0	16	2								2							2				1	11	250.00	250.00	250.00	250.00	1	1	2																																							
H3815	020	0	1	01	01	H3815_020_0	16	2								2							2				1	11	250.00	250.00	250.00	250.00	1	1	2																																							
H3815	021	0	1	01	01	H3815_021_0	16	2								2							2				1	11	250.00	250.00	250.00	250.00	1	1	2																																							
H3815	023	0	1	01	01	H3815_023_0	16	2								2							2				1	11	250.00	250.00	250.00	250.00	1	1	2																																							
H3815	026	0	1	02	01	H3815_026_0	14	2								2							2				1	11	115.00	115.00	115.00	115.00	1	1	2																																							
H3815	028	0	1	01	01	H3815_028_0	15	2								2							2				1	11	75.00	75.00	200.00	200.00	1	1	1	1	2	2	22	3		1			000010												2				2				2			2		2			1	1
H3815	030	0	1	01	01	H3815_030_0	15	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	50	3		1			000010												2				2				2			2		2			1	1
H3815	031	0	1	01	01	H3815_031_0	14	2								2							2				1	11	175.00	175.00	175.00	175.00	1	1	1	1	2	2	28	3		1			000010												2				2				2			2		2			1	1
H3815	033	0	1	01	01	H3815_033_0	11	2								2							2				1	11	100.00	100.00	100.00	100.00	1	1	1	1	2	2	42	3		1			000010												2				2				2			2		2			1	1
H3815	034	0	1	01	01	H3815_034_0	16	2								2							2				1	11	75.00	75.00	75.00	75.00	2	1	1	1	2	2	20	3		1			000010												2				2				2			2		2			1	1
H3815	035	0	1	01	01	H3815_035_0	16	2								2							2				1	11	75.00	75.00	75.00	75.00	1	1	1	1	2	2	24	3		1			000010												2				2				2			2		2			1	1
H3815	036	0	1	01	01	H3815_036_0	17	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	20	3		1			000010												2				2				2			2		2			1	1
H3815	037	0	1	01	01	H3815_037_0	15	2								2							2				1	11	240.00	240.00	240.00	240.00	1	1	1	1	2	2	24	3		1			000010												2				2				2			2		2			1	1
H3815	038	0	1	01	01	H3815_038_0	15	2								2							2				1	11	100.00	100.00	200.00	200.00	1	1	2																																							
H3815	039	0	1	01	01	H3815_039_0	16	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			000010												2				2				2			2		2			1	1
H3815	040	0	1	01	01	H3815_040_0	15	2								2							2				1	11	100.00	100.00	200.00	200.00	1	1	2																																							
H3815	801	0	1	01	01	H3815_801_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3815	802	0	1	01	01	H3815_802_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3815	803	0	1	01	01	H3815_803_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3815	804	0	1	01	01	H3815_804_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3817	008	1	1	04	01	H3817_008_1	8	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H3817	008	2	1	04	01	H3817_008_2	8	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H3817	008	4	1	04	01	H3817_008_4	8	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H3817	009	1	1	04	01	H3817_009_1	8	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H3817	009	2	1	04	01	H3817_009_2	8	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H3817	010	0	1	04	01	H3817_010_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H3817	011	1	1	04	01	H3817_011_1	8	2								2							2				1	11	325.00	325.00	300.00	300.00	2	1	2																																							
H3817	011	2	1	04	01	H3817_011_2	8	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H3817	011	3	1	04	01	H3817_011_3	8	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H3817	801	0	1	04	01	H3817_801_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3817	802	0	1	04	01	H3817_802_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3817	803	0	1	04	01	H3817_803_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3817	804	0	1	04	01	H3817_804_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3822	001	0	1	01	01	H3822_001_0	6	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	12	3		1			010010												2				2				2			2		1	0.00	0.00	1	2
H3822	002	0	1	01	01	H3822_002_0	6	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	12	3		1			010010												2				2				2			2		1	0.00	0.00	1	2
H3822	007	0	1	02	01	H3822_007_0	6	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	24	3		1			010010												2				2				2			2		1	0.00	0.00	1	2
H3822	008	0	1	02	01	H3822_008_0	6	2								1	10			20	20	2	2				1	01	225.00	225.00			2	1	1	1	2	2	12	3		1			010010												2				2				2			2		1	0.00	0.00	1	2
H3822	012	0	1	01	01	H3822_012_0	6	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H3822	014	0	1	01	01	H3822_014_0	6	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	12	3		1			010010												2				2				2			2		2			1	2
H3822	801	0	1	01	01	H3822_801_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H3822	802	0	1	01	01	H3822_802_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H3822	805	0	1	01	01	H3822_805_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H3822	806	0	1	01	01	H3822_806_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H3822	809	0	1	01	01	H3822_809_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H3822	810	0	1	01	01	H3822_810_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H3822	813	0	1	01	01	H3822_813_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H3822	814	0	1	01	01	H3822_814_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H3822	815	0	1	01	01	H3822_815_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H3822	816	0	1	01	01	H3822_816_0	2	2								1	11	20	20	20	20	2	2				2							2	2																																							
H3822	817	0	1	01	01	H3822_817_0	2	2								1	11	20	20	20	20	2	2				2							2	2																																							
H3822	818	0	1	01	01	H3822_818_0	2	2								1	11	20	20	20	20	2	2				2							2	2																																							
H3828	001	0	1	04	01	H3828_001_0	8	2								2							2				1	11	250.00	250.00	300.00	300.00	2	1	2																																							
H3828	801	0	1	04	01	H3828_801_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3828	802	0	1	04	01	H3828_802_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3832	007	0	1	04	01	H3832_007_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H3832	008	0	1	04	01	H3832_008_0	7	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	2																																							
H3832	009	0	1	04	01	H3832_009_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H3832	010	0	1	04	01	H3832_010_0	7	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	2																																							
H3832	011	0	1	04	01	H3832_011_0	9	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3832	801	0	1	04	01	H3832_801_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3832	802	0	1	04	01	H3832_802_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3832	805	0	1	04	01	H3832_805_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3832	807	0	1	04	01	H3832_807_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3864	002	0	1	02	01	H3864_002_0	4	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H3864	006	0	1	01	01	H3864_006_0	5	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	2																																							
H3864	014	0	1	02	01	H3864_014_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H3864	024	0	1	02	01	H3864_024_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H3864	027	0	1	01	01	H3864_027_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H3864	029	0	1	02	01	H3864_029_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H3864	030	0	1	02	01	H3864_030_0	4	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H3864	032	0	1	02	01	H3864_032_0	6	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H3864	034	0	1	02	01	H3864_034_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H3864	036	0	1	02	01	H3864_036_0	6	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H3864	040	0	1	01	01	H3864_040_0	5	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H3864	041	0	1	01	01	H3864_041_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H3864	043	0	1	01	01	H3864_043_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3864	801	0	1	01	01	H3864_801_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3864	803	0	1	01	01	H3864_803_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3864	805	0	1	02	01	H3864_805_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3864	806	0	1	02	01	H3864_806_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3890	001	0	1	04	01	H3890_001_0	9	2								2							2				1	11	210.00	210.00	210.00	210.00	2	1	2																																							
H3890	002	0	1	04	01	H3890_002_0	10	2								2							2				1	11	210.00	210.00	210.00	210.00	2	1	2																																							
H3890	004	0	1	04	01	H3890_004_0	10	2								2							2				1	11	100.00	100.00	225.00	225.00	2	1	2																																							
H3890	005	0	1	04	01	H3890_005_0	10	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	2																																							
H3890	801	0	1	04	01	H3890_801_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3907	002	0	1	01	01	H3907_002_0	7	2								2							2				1	11	50.00	290.00	290.00	290.00	2	1	2																																							
H3907	006	0	1	01	01	H3907_006_0	11	2								2							2				1	11	50.00	100.00	100.00	100.00	2	1	2																																							
H3907	029	0	1	01	01	H3907_029_0	11	2								2							2				1	11	50.00	270.00	270.00	270.00	2	1	2																																							
H3907	037	0	1	01	01	H3907_037_0	8	2								2							2				1	11	50.00	290.00	290.00	290.00	2	1	2																																							
H3907	046	0	1	01	01	H3907_046_0	10	2								2							2				1	11	50.00	255.00	255.00	255.00	2	1	2																																							
H3907	050	0	1	01	01	H3907_050_0	9	2								2							2				1	11	50.00	295.00	295.00	295.00	2	1	2																																							
H3907	052	0	1	01	01	H3907_052_0	11	2								2							2				1	11	50.00	260.00	260.00	260.00	2	1	2																																							
H3907	057	1	1	01	01	H3907_057_1	12	2								2							2				1	11	50.00	300.00	300.00	300.00	2	1	2																																							
H3907	057	2	1	01	01	H3907_057_2	12	2								2							2				1	11	50.00	300.00	300.00	300.00	2	1	2																																							
H3907	057	3	1	01	01	H3907_057_3	12	2								2							2				1	11	50.00	300.00	300.00	300.00	2	1	2																																							
H3907	057	4	1	01	01	H3907_057_4	12	2								2							2				1	11	50.00	300.00	300.00	300.00	2	1	2																																							
H3907	057	5	1	01	01	H3907_057_5	13	2								2							2				1	11	50.00	300.00	300.00	300.00	2	1	2																																							
H3907	801	0	1	01	01	H3907_801_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3907	802	0	1	01	01	H3907_802_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3907	803	0	1	01	01	H3907_803_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3908	001	0	1	20	08	H3908_001_0	1																																																																			
H3908	002	0	1	20	08	H3908_002_0	1																																																																			
H3909	001	0	1	04	01	H3909_001_0	6	2								2							2				1	11	175.00	175.00	175.00	175.00	2	1	2																																							
H3909	007	0	1	04	01	H3909_007_0	6	2								2							2				1	11	175.00	175.00	175.00	175.00	2	1	2																																							
H3909	009	0	1	04	01	H3909_009_0	6	2								2							2				1	11	175.00	175.00	175.00	175.00	2	1	2																																							
H3909	014	0	1	04	01	H3909_014_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H3909	015	0	1	04	01	H3909_015_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H3909	016	0	1	04	01	H3909_016_0	6	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H3909	017	0	1	04	01	H3909_017_0	6	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	2																																							
H3909	801	0	1	04	01	H3909_801_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3909	802	0	1	04	01	H3909_802_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3916	001	0	1	04	01	H3916_001_0	7	2								2							2				1	11	115.00	115.00	115.00	115.00	2	1	1	1	2	2	24	3		1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3916	002	0	1	04	01	H3916_002_0	7	2								2							2				1	11	165.00	165.00	165.00	165.00	2	1	1	1	2	2	24	3		1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3916	005	0	1	04	01	H3916_005_0	7	2								2							2				1	11	140.00	140.00	140.00	140.00	2	1	1	1	2	2	24	3		1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3916	012	0	1	04	01	H3916_012_0	5	2								2							2				1	11	125.00	125.00	125.00	125.00	2	1	1	1	2	2	24	3		1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3916	015	0	1	04	01	H3916_015_0	7	2								2							2				1	11	215.00	215.00	215.00	215.00	2	1	1	1	2	2	24	3		1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3916	018	0	1	04	01	H3916_018_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	24	3		1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3916	022	0	1	04	01	H3916_022_0	8	2								2							2				1	11	215.00	215.00	215.00	215.00	2	1	1	1	2	2	24	3		1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3916	024	0	1	04	01	H3916_024_0	7	2								2							2				1	11	215.00	215.00	215.00	215.00	2	1	1	1	2	2	24	3		1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3916	032	0	1	04	01	H3916_032_0	8	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	24	3		1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3916	033	0	1	04	01	H3916_033_0	8	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	24	3		1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3916	034	1	1	04	01	H3916_034_1	10	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	1				1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3916	034	3	1	04	01	H3916_034_3	10	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	1				1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3916	034	4	1	04	01	H3916_034_4	10	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	1				1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3916	034	5	1	04	01	H3916_034_5	10	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	1				1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3916	035	1	1	04	01	H3916_035_1	10	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	1				1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3916	035	2	1	04	01	H3916_035_2	10	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	1				1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3916	035	4	1	04	01	H3916_035_4	9	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	1				1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3916	036	0	1	04	01	H3916_036_0	10	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	1				1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3916	037	1	1	04	01	H3916_037_1	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	1				1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3916	037	2	1	04	01	H3916_037_2	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	1				1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3916	037	3	1	04	01	H3916_037_3	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	1				1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3916	037	4	1	04	01	H3916_037_4	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	1				1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3916	038	0	1	04	01	H3916_038_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	1				1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3916	039	0	1	04	01	H3916_039_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	1				1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3916	041	1	1	04	01	H3916_041_1	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	1				1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3916	041	2	1	04	01	H3916_041_2	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	1				1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3916	042	1	1	04	01	H3916_042_1	5	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	24	3		1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3916	042	2	1	04	01	H3916_042_2	5	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	24	3		1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3916	043	0	1	04	01	H3916_043_0	5	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	24	3		1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3916	044	1	1	04	01	H3916_044_1	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	1				1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3916	044	2	1	04	01	H3916_044_2	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	1				1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3916	044	3	1	04	01	H3916_044_3	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	1				1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3916	045	1	1	04	01	H3916_045_1	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	1				1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3916	045	2	1	04	01	H3916_045_2	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	1				1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3916	045	3	1	04	01	H3916_045_3	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	1				1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3916	045	4	1	04	01	H3916_045_4	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	1				1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3916	046	0	1	04	01	H3916_046_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	1				1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3916	801	0	1	04	01	H3916_801_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3916	802	0	1	04	01	H3916_802_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3916	804	0	1	04	01	H3916_804_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3916	805	0	1	04	01	H3916_805_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3916	806	0	1	04	01	H3916_806_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3916	807	0	1	04	01	H3916_807_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3916	808	0	1	04	01	H3916_808_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3916	809	0	1	04	01	H3916_809_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3916	810	0	1	04	01	H3916_810_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3917	001	0	1	20	08	H3917_001_0	1																																																																			
H3917	002	0	1	20	08	H3917_002_0	1																																																																			
H3918	001	0	1	20	08	H3918_001_0	1																																																																			
H3918	002	0	1	20	08	H3918_002_0	1																																																																			
H3919	001	0	1	20	08	H3919_001_0	2																																																																			
H3919	002	0	1	20	08	H3919_002_0	2																																																																			
H3923	013	0	1	04	01	H3923_013_0	5	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	24	3		1			001011												2				2				2			2		2			1	2
H3923	017	0	1	04	01	H3923_017_0	5	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	2	2	24	3		1			001011												2				2				2			2		2			1	2
H3923	028	0	1	04	01	H3923_028_0	5	2								2							2				1	11	375.00	375.00	375.00	375.00	2	1	1	1	2	2	16	3		1			001011												2				2				2			2		2			1	2
H3923	029	0	1	04	01	H3923_029_0	5	2								2							2				1	11	375.00	375.00	375.00	375.00	2	1	1	1	2	2	16	3		1			001011												2				2				2			2		2			1	2
H3923	030	0	1	04	01	H3923_030_0	5	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	1	1	2	2	24	3		1			001011												2				2				2			2		2			1	2
H3923	031	0	1	04	01	H3923_031_0	5	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H3923	032	0	1	04	01	H3923_032_0	5	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H3923	033	0	1	04	01	H3923_033_0	5	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H3923	034	0	1	04	01	H3923_034_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	24	3		1			001011												2				2				2			2		2			1	2
H3923	035	0	1	04	01	H3923_035_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	24	3		1			001011												2				2				2			2		2			1	2
H3923	801	0	1	04	01	H3923_801_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3923	802	0	1	04	01	H3923_802_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3923	817	0	1	04	01	H3923_817_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3923	818	0	1	04	01	H3923_818_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3923	819	0	1	04	01	H3923_819_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3923	820	0	1	04	01	H3923_820_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3923	832	0	1	04	01	H3923_832_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3924	059	21	1	04	01	H3924_059_21	5	2								2							2				1	11	200.00	200.00	200.00	200.00	1	1	2																																							
H3924	059	22	1	04	01	H3924_059_22	5	2								2							2				1	11	200.00	200.00	200.00	200.00	1	1	2																																							
H3924	062	21	1	04	01	H3924_062_21	4	2								2							2				1	11	275.00	275.00	275.00	275.00	1	1	2																																							
H3924	062	22	1	04	01	H3924_062_22	4	2								2							2				1	11	275.00	275.00	275.00	275.00	1	1	2																																							
H3924	062	23	1	04	01	H3924_062_23	4	2								2							2				1	11	275.00	275.00	275.00	275.00	1	1	2																																							
H3924	062	24	1	04	01	H3924_062_24	4	2								2							2				1	11	275.00	275.00	275.00	275.00	1	1	2																																							
H3924	062	25	1	04	01	H3924_062_25	4	2								2							2				1	11	275.00	275.00	275.00	275.00	1	1	2																																							
H3924	065	0	1	04	01	H3924_065_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	1	1	2																																							
H3924	804	0	1	04	01	H3924_804_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3925	001	0	1	20	08	H3925_001_0	1																																																																			
H3925	002	0	1	20	08	H3925_002_0	1																																																																			
H3928	001	0	1	01	01	H3928_001_0	6	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H3928	801	0	1	01	01	H3928_801_0	8	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3928	803	0	1	01	01	H3928_803_0	8	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3931	004	0	1	02	01	H3931_004_0	6	2								2							2				1	11	240.00	240.00	355.00	355.00	1	1	1	1	2	2	6	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3931	064	0	1	02	01	H3931_064_0	7	2								2							2				1	11	200.00	200.00	300.00	300.00	1	1	1	1	2	2	6	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3931	070	0	1	02	01	H3931_070_0	6	2								2							2				1	11	250.00	250.00	350.00	350.00	1	1	2																																							
H3931	091	0	1	02	01	H3931_091_0	6	2								2							2				1	11	260.00	260.00	350.00	350.00	1	1	2																																							
H3931	092	0	1	02	01	H3931_092_0	7	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	2																																							
H3931	094	0	1	02	01	H3931_094_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H3931	095	0	1	02	01	H3931_095_0	8	2								1	10			20	20	2	2				1	01	260.00	260.00			2	1	2																																							
H3931	096	0	1	02	01	H3931_096_0	8	2								1	10			20	20	2	2				1	01	270.00	270.00			2	1	2																																							
H3931	097	0	1	02	01	H3931_097_0	8	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	2																																							
H3931	098	0	1	02	01	H3931_098_0	7	2								1	10			20	20	2	2				1	01	290.00	290.00			2	1	2																																							
H3931	099	0	1	02	01	H3931_099_0	7	2								1	10			20	20	2	2				1	01	290.00	290.00			2	1	2																																							
H3931	100	0	1	02	01	H3931_100_0	7	2								1	10			20	20	2	2				1	01	290.00	290.00			2	1	2																																							
H3931	101	0	1	02	01	H3931_101_0	7	2								1	10			20	20	2	2				1	01	290.00	290.00			2	1	2																																							
H3931	102	0	1	02	01	H3931_102_0	6	2								2							2				1	11	235.00	235.00	340.00	340.00	1	1	2																																							
H3931	105	0	1	02	01	H3931_105_0	7	2								2							2				1	11	250.00	250.00	350.00	350.00	1	1	2																																							
H3931	107	0	1	02	01	H3931_107_0	7	2								2							2				1	11	235.00	235.00	235.00	235.00	2	1	2																																							
H3931	108	0	1	01	01	H3931_108_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3931	109	0	1	02	01	H3931_109_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H3931	124	0	1	02	01	H3931_124_0	7	2								1	10			20	20	2	2				1	01	290.00	290.00			2	1	2																																							
H3931	126	0	1	02	01	H3931_126_0	7	2								2							2				1	11	255.00	255.00	255.00	255.00	2	1	2																																							
H3931	129	0	1	02	01	H3931_129_0	7	2								2							2				1	11	315.00	315.00	315.00	315.00	2	1	2																																							
H3931	143	0	1	02	01	H3931_143_0	7	2								1	10			20	20	2	2				1	01	280.00	280.00			2	1	2																																							
H3931	145	0	1	02	01	H3931_145_0	7	2								2							2				1	11	310.00	310.00	310.00	310.00	2	1	2																																							
H3931	146	0	1	02	01	H3931_146_0	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H3931	147	0	1	02	01	H3931_147_0	7	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H3931	148	0	1	02	01	H3931_148_0	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H3931	149	0	1	02	01	H3931_149_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H3931	151	0	1	02	01	H3931_151_0	6	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H3931	152	0	1	02	01	H3931_152_0	6	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H3931	153	0	1	02	01	H3931_153_0	8	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H3931	154	0	1	02	01	H3931_154_0	8	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H3931	156	0	1	02	01	H3931_156_0	7	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	2																																							
H3931	157	0	1	02	01	H3931_157_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H3931	158	0	1	02	01	H3931_158_0	8	2								1	10			20	20	2	2				1	01	290.00	290.00			2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3931	159	0	1	01	01	H3931_159_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011010												2				2				1	0	0	2		2			2	2
H3931	160	0	1	02	01	H3931_160_0	6	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H3931	161	0	1	02	01	H3931_161_0	8	2								1	10			20	20	2	2				1	01	370.00	370.00			2	1	2																																							
H3931	162	0	1	02	01	H3931_162_0	8	2								1	10			20	20	2	2				1	01	370.00	370.00			2	1	2																																							
H3931	165	0	1	02	01	H3931_165_0	8	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H3931	166	0	1	02	01	H3931_166_0	7	2								2							2				1	11	310.00	310.00	310.00	310.00	2	1	2																																							
H3931	167	0	1	02	01	H3931_167_0	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H3931	168	0	1	02	01	H3931_168_0	7	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H3931	169	0	1	02	01	H3931_169_0	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H3931	801	0	1	01	01	H3931_801_0	8	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3931	804	0	1	01	01	H3931_804_0	8	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3933	001	0	1	20	08	H3933_001_0	1																																																																			
H3933	002	0	1	20	08	H3933_002_0	1																																																																			
H3942	001	0	1	20	08	H3942_001_0	1																																																																			
H3942	002	0	1	20	08	H3942_002_0	1																																																																			
H3949	009	0	1	01	01	H3949_009_0	8	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			011011												2				2				2			2		2			1	2
H3949	024	0	1	01	01	H3949_024_0	7	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	2	50	3		1			011011												2				2				2			2		2			1	2
H3949	026	0	1	01	01	H3949_026_0	5	2								1	10			20	20	2	2				1	01	215.00	215.00			2	1	1	1	2	2	30	3		1			011011												2				2				2			2		2			1	2
H3949	030	0	1	01	01	H3949_030_0	7	2								1	10			20	20	2	2				1	01	225.00	225.00			2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			1	2
H3949	031	0	1	01	01	H3949_031_0	7	2								1	10			20	20	2	2				1	01	220.00	220.00			2	1	1	1	2	2	50	3		1			011011												2				2				2			2		2			1	2
H3949	032	0	1	01	01	H3949_032_0	7	2								1	10			20	20	2	2				1	01	255.00	255.00			2	1	2																																							
H3949	034	0	1	01	01	H3949_034_0	7	2								1	10			20	20	2	2				1	01	235.00	235.00			2	1	2																																							
H3949	035	0	1	01	01	H3949_035_0	7	2								1	10			20	20	2	2				1	01	195.00	195.00			2	1	1	1	2	2	10	3		1			011011												2				2				2			2		2			1	2
H3949	045	0	1	01	01	H3949_045_0	7	2								1	10			20	20	2	2				1	01	225.00	225.00			2	1	1	1	2	2	20	3		1			011011												2				2				2			2		2			1	2
H3949	046	0	1	01	01	H3949_046_0	7	2								1	10			20	20	2	2				1	01	225.00	225.00			2	1	1	1	2	2	30	3		1			011011												2				2				2			2		2			1	2
H3949	047	0	1	01	01	H3949_047_0	7	2								1	10			20	20	2	2				1	01	230.00	230.00			2	1	1	1	2	2	20	3		1			011011												2				2				2			2		2			1	2
H3949	048	0	1	01	01	H3949_048_0	7	2								1	10			20	20	2	2				1	01	230.00	230.00			2	1	1	1	2	2	20	3		1			011011												2				2				2			2		2			1	2
H3949	049	0	1	01	01	H3949_049_0	7	2								1	10			20	20	2	2				1	01	230.00	230.00			2	1	1	1	2	2	20	3		1			011011												2				2				2			2		2			1	2
H3949	050	0	1	01	01	H3949_050_0	7	2								1	10			20	20	2	2				1	01	230.00	230.00			2	1	1	1	2	2	20	3		1			011011												2				2				2			2		2			1	2
H3949	051	0	1	01	01	H3949_051_0	5	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	10	3		1			011011												2				2				2			2		2			1	2
H3949	804	0	1	01	01	H3949_804_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3952	008	0	1	01	01	H3952_008_0	5	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	2																																							
H3952	020	0	1	01	01	H3952_020_0	8	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	2																																							
H3952	044	0	1	01	01	H3952_044_0	5	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	2																																							
H3952	045	0	1	01	01	H3952_045_0	8	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	2																																							
H3952	048	0	1	01	01	H3952_048_0	5	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	2																																							
H3952	049	0	1	01	01	H3952_049_0	8	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	2																																							
H3952	050	0	1	01	01	H3952_050_0	5	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	2																																							
H3952	051	0	1	01	01	H3952_051_0	8	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	2																																							
H3952	053	0	1	02	01	H3952_053_0	9	2								2							2				1	11	230.00	230.00	230.00	230.00	2	1	2																																							
H3952	054	0	1	02	01	H3952_054_0	9	2								2							2				1	11	230.00	230.00	230.00	230.00	2	1	2																																							
H3952	055	0	1	01	01	H3952_055_0	9	2								2							2				1	11	240.00	240.00	240.00	240.00	2	1	2																																							
H3952	056	0	1	01	01	H3952_056_0	10	2								2							2				1	11	240.00	240.00	240.00	240.00	2	1	2																																							
H3952	059	0	1	01	01	H3952_059_0	5	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H3952	802	0	1	01	01	H3952_802_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3952	804	0	1	01	01	H3952_804_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3954	097	0	1	01	01	H3954_097_0	5	2								1	11	20	20	20	20	1	2				2							1	1	2											2	1				5	Both Round Trip and One Way are Covered.		011111		1	500.00	3		2				2			2		2			2	2
H3954	157	21	1	01	01	H3954_157_21	6	2								2							2				1	11	100.00	100.00	100.00	100.00	1	1	2																																							
H3954	157	22	1	01	01	H3954_157_22	6	2								2							2				1	11	100.00	100.00	100.00	100.00	1	1	2																																							
H3954	157	23	1	01	01	H3954_157_23	6	2								2							2				1	11	100.00	100.00	100.00	100.00	1	1	2																																							
H3954	158	13	1	01	01	H3954_158_13	4	2								2							2				1	11	200.00	200.00	200.00	200.00	1	1	2																																							
H3954	158	14	1	01	01	H3954_158_14	4	2								2							2				1	11	200.00	200.00	200.00	200.00	1	1	2																																							
H3954	160	0	1	01	01	H3954_160_0	4	2								2							2				1	11	275.00	275.00	275.00	275.00	1	1	2																																							
H3954	161	0	1	01	01	H3954_161_0	4	2								2							2				1	11	200.00	200.00	200.00	200.00	1	1	2																																							
H3954	162	0	1	01	01	H3954_162_0	2	2								2							2				1	11	100.00	100.00	100.00	100.00	1	1	2																																							
H3954	163	0	1	01	01	H3954_163_0	4	2								2							2				1	11	275.00	275.00	275.00	275.00	1	1	2																																							
H3954	801	0	1	01	01	H3954_801_0	2	2								1	11	20	20	20	20	1	2				2							1	2																																							
H3954	802	0	1	01	01	H3954_802_0	2	2								1	11	20	20	20	20	1	2				2							1	2																																							
H3954	805	0	1	01	01	H3954_805_0	2	2								1	11	20	20	20	20	1	2				2							1	2																																							
H3957	031	0	1	02	01	H3957_031_0	9	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	1	1	2	2	24	3		1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3957	039	0	1	01	01	H3957_039_0	7	2								2							2				1	11	175.00	175.00	175.00	175.00	2	1	1	1	2	1				1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3957	042	1	1	01	01	H3957_042_1	8	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	1				1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3957	042	2	1	01	01	H3957_042_2	8	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	1				1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3957	042	4	1	01	01	H3957_042_4	8	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	1				1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3957	042	5	1	01	01	H3957_042_5	8	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	1				1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3957	043	1	1	02	01	H3957_043_1	6	2								2							2				1	11	125.00	125.00	125.00	125.00	2	1	1	1	2	2	24	3		1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3957	043	2	1	02	01	H3957_043_2	6	2								2							2				1	11	125.00	125.00	125.00	125.00	2	1	1	1	2	2	24	3		1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3957	044	1	1	02	01	H3957_044_1	8	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	24	3		1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3957	044	4	1	02	01	H3957_044_4	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	24	3		1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3957	045	1	1	02	01	H3957_045_1	8	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	24	3		1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3957	045	2	1	02	01	H3957_045_2	8	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	24	3		1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3957	046	1	1	02	01	H3957_046_1	8	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	2	2	24	3		1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3957	046	2	1	02	01	H3957_046_2	8	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	2	2	24	3		1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3957	047	1	1	01	01	H3957_047_1	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	1				1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3957	047	2	1	01	01	H3957_047_2	8	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	1				1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3957	047	3	1	01	01	H3957_047_3	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	1				1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3957	048	0	1	01	01	H3957_048_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	1				1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H3957	805	0	1	01	01	H3957_805_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3957	806	0	1	01	01	H3957_806_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3957	808	0	1	01	01	H3957_808_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3957	810	0	1	01	01	H3957_810_0	4	2								1	11	20	20	20	20	2	2				2							2	2																																							
H3957	811	0	1	01	01	H3957_811_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3957	812	0	1	01	01	H3957_812_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3957	813	0	1	02	01	H3957_813_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3957	814	0	1	02	01	H3957_814_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3957	815	0	1	02	01	H3957_815_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3957	816	0	1	01	01	H3957_816_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3957	817	0	1	02	01	H3957_817_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3957	818	0	1	01	01	H3957_818_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3959	001	0	1	02	01	H3959_001_0	7	2								2							2				1	11	225.00	225.00	325.00	325.00	1	1	1	1	2	2	6	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3959	002	0	1	02	01	H3959_002_0	7	2								2							2				1	11	225.00	225.00	325.00	325.00	1	1	1	1	2	2	18	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3959	010	0	1	02	01	H3959_010_0	6	2								2							2				1	11	225.00	225.00	355.00	355.00	1	1	1	1	2	2	6	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3959	011	0	1	02	01	H3959_011_0	7	2								2							2				1	11	275.00	275.00	375.00	375.00	1	1	1	1	2	2	6	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3959	032	0	1	02	01	H3959_032_0	7	2								2							2				1	11	240.00	240.00	340.00	340.00	1	1	1	1	2	2	6	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3959	033	0	1	02	01	H3959_033_0	7	2								2							2				1	11	245.00	245.00	345.00	345.00	1	1	1	1	2	2	6	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3959	035	0	1	01	01	H3959_035_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	30	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3959	036	0	1	01	01	H3959_036_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	30	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3959	037	0	1	02	01	H3959_037_0	6	2								2							2				1	11	300.00	300.00	400.00	400.00	1	1	1	1	2	2	6	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3959	039	0	1	02	01	H3959_039_0	6	2								2							2				1	11	260.00	260.00	360.00	360.00	1	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3959	041	0	1	02	01	H3959_041_0	3	2								2							2				1	11	250.00	250.00	350.00	350.00	1	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3959	045	0	1	02	01	H3959_045_0	6	2								2							2				1	11	275.00	275.00	375.00	375.00	1	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3959	046	0	1	02	01	H3959_046_0	8	2								2							2				1	11	250.00	250.00	350.00	350.00	1	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3959	047	0	1	02	01	H3959_047_0	8	2								2							2				1	11	250.00	250.00	350.00	350.00	1	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3959	049	0	1	02	01	H3959_049_0	7	2								2							2				1	11	250.00	250.00	350.00	350.00	1	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3959	051	0	1	02	01	H3959_051_0	6	2								2							2				1	11	300.00	300.00	400.00	400.00	1	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3959	052	0	1	02	01	H3959_052_0	6	2								2							2				1	11	230.00	230.00	370.00	370.00	1	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3959	053	0	1	02	01	H3959_053_0	6	2								2							2				1	11	250.00	250.00	350.00	350.00	1	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3959	055	0	1	02	01	H3959_055_0	7	2								2							2				1	11	265.00	265.00	365.00	365.00	1	1	1	1	2	2	6	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3959	056	0	1	02	01	H3959_056_0	4	2								2							2				1	11	250.00	250.00	350.00	350.00	1	1	1	1	2	2	6	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3959	057	0	1	02	01	H3959_057_0	3	2								2							2				1	11	250.00	250.00	350.00	350.00	1	1	1	1	2	2	6	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3959	063	0	1	01	01	H3959_063_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H3959	066	0	1	01	01	H3959_066_0	9	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			010011												2				2				2			2		1	0.00	0.00	2	2
H3959	068	0	1	02	01	H3959_068_0	6	2								2							2				1	11	320.00	320.00	320.00	320.00	2	1	2																																							
H3959	803	0	1	01	01	H3959_803_0	8	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3959	804	0	1	01	01	H3959_804_0	8	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3962	001	0	1	01	01	H3962_001_0	5	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	2	2	24	3		1			001011												2				2				2			2		2			1	2
H3962	004	0	1	01	01	H3962_004_0	5	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	24	3		1			001011												2				2				2			2		2			1	2
H3962	007	0	1	01	01	H3962_007_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	20	3		1			001011												2				2				2			2		2			1	2
H3962	021	0	1	01	01	H3962_021_0	5	2								2							2				1	11	375.00	375.00	375.00	375.00	2	1	1	1	2	2	24	3		1			001011												2				2				2			2		2			1	2
H3962	801	0	1	01	01	H3962_801_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3962	802	0	1	01	01	H3962_802_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3962	813	0	1	01	01	H3962_813_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3962	817	0	1	01	01	H3962_817_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3962	828	0	1	01	01	H3962_828_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H3975	001	0	1	04	01	H3975_001_0	17	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H3975	002	0	1	04	01	H3975_002_0	15	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H3975	004	0	1	04	01	H3975_004_0	18	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H3979	001	0	1	01	01	H3979_001_0	6	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H3979	801	0	1	01	01	H3979_801_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H3979	803	0	1	01	01	H3979_803_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H3979	805	0	1	01	01	H3979_805_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H3991	001	0	1	20	08	H3991_001_0	1																																																																			
H3991	002	0	1	20	08	H3991_002_0	1																																																																			
H4003	009	0	1	01	01	H4003_009_0	7	2								2							2				2							1	1	1	2	2	16	3		1			011110												2				2				2			2		2			1	2
H4003	017	0	1	01	01	H4003_017_0	7	2								2							2				2							1	1	1	2	2	24	3		1			011110												2				2				2			2		2			1	2
H4003	019	0	1	02	01	H4003_019_0	5	2								2							2				2							1	1	1	2	2	24	3		1			011110												2				2				2			2		2			1	2
H4003	034	0	1	02	01	H4003_034_0	6	2								2							2				2							1	1	1	2	2	24	3		1			011110												2				2				2			2		2			1	2
H4003	049	0	1	01	01	H4003_049_0	6	2								2							2				2							1	1	1	2	2	12	3		1			011110												2				2				2			2		2			1	2
H4003	054	0	1	02	01	H4003_054_0	5	2								2							2				2							1	1	1	2	2	24	3		1			011110												2				2				2			2		2			1	2
H4003	055	0	1	02	01	H4003_055_0	6	2								2							2				2							1	1	1	2	2	6	3		1			011110												2				2				2			2		2			1	2
H4003	058	0	1	01	01	H4003_058_0	6	2								2							2				2							1	1	1	2	2	12	3		1			011110												2				2				2			2		2			1	2
H4003	806	0	1	02	01	H4003_806_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4003	807	0	1	02	01	H4003_807_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4003	820	0	1	02	01	H4003_820_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4003	821	0	1	02	01	H4003_821_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4003	822	0	1	02	01	H4003_822_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4003	823	0	1	02	01	H4003_823_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4003	824	0	1	02	01	H4003_824_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4003	825	0	1	02	01	H4003_825_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4003	826	0	1	02	01	H4003_826_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4003	827	0	1	02	01	H4003_827_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4003	828	0	1	02	01	H4003_828_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4003	829	0	1	02	01	H4003_829_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4004	048	0	1	01	01	H4004_048_0	6	2								2							2				2							1	1	1	2	2	24	3		1			011110												2				2				2			2		2			1	2
H4004	056	0	1	02	01	H4004_056_0	5	2								2							2				2							1	1	1	2	2	12	3		1			011110												2				2				2			2		2			1	2
H4004	062	0	1	01	01	H4004_062_0	6	2								2							2				2							1	1	1	2	2	24	3		1			011110												2				2				2			2		2			1	2
H4004	063	0	1	02	01	H4004_063_0	5	2								2							2				2							1	1	1	2	2	10	3		1			011110												2				2				2			2		2			1	2
H4004	065	0	1	02	01	H4004_065_0	5	2								2							2				2							1	1	1	2	2	20	3		1			011110												2				2				2			2		2			1	2
H4004	066	0	1	02	01	H4004_066_0	4	2								2							2				2							1	2																																							
H4004	067	0	1	01	01	H4004_067_0	6	2								2							2				2							1	1	1	2	2	6	3		1			011110												2				2				2			2		2			1	2
H4004	817	0	1	02	01	H4004_817_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4004	818	0	1	02	01	H4004_818_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4004	819	0	1	02	01	H4004_819_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4004	820	0	1	02	01	H4004_820_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4004	822	0	1	02	01	H4004_822_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4004	823	0	1	02	01	H4004_823_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4004	824	0	1	02	01	H4004_824_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4004	825	0	1	02	01	H4004_825_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4004	826	0	1	02	01	H4004_826_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4004	827	0	1	02	01	H4004_827_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4004	828	0	1	02	01	H4004_828_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4004	829	0	1	02	01	H4004_829_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4005	001	0	1	04	01	H4005_001_0	4	2								2							2				2							1	1	2											2	2	24	3		1			110010	Other methods of transportation are available, such as an automobile through a contracted provider.	2				2				2			2		2			2	2
H4005	004	0	1	04	01	H4005_004_0	5	2								2							2				2							1	1	2											2	2	24	3		1			110010	Other methods of transportation are available, such as an automobile through a contracted provider.	2				2				2			2		2			2	2
H4005	007	0	1	04	01	H4005_007_0	5	2								2							2				2							1	1	2											2	2	24	3		1			110010	Other methods of transportation are available, such as an automobile through a contracted provider.	2				2				2			2		2			2	2
H4005	801	0	1	04	01	H4005_801_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4005	802	0	1	04	01	H4005_802_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4005	804	0	1	04	01	H4005_804_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4005	807	0	1	04	01	H4005_807_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4005	808	0	1	04	01	H4005_808_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4007	012	0	1	01	01	H4007_012_0	5	2								1	10			20	20	2	2				1	01	0.00	0.00			2	1	1	1	2	2	48	3		1			100010	Services arranged by the plan's transportation provider to approved locations by means of car, van, or wheelchair access vehicle that provide members access to health benefits.											2				2				2			2		1	0.00	0.00	1	2
H4007	016	0	1	01	01	H4007_016_0	10	2								2							2				1	11	0.00	0.00	0.00	0.00	2	1	1	1	2	2	48	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H4007	018	0	1	01	01	H4007_018_0	5	2								2							2				1	11	0.00	0.00	0.00	0.00	2	1	1	1	2	2	36	3		1			101010	car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H4007	019	0	1	01	01	H4007_019_0	5	2								2							2				1	11	0.00	0.00	0.00	0.00	2	1	1	1	2	2	24	3		1			101010	car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H4007	020	0	1	01	01	H4007_020_0	6	2								1	10			20	20	2	2				1	01	45.00	45.00			2	1	2																																							
H4007	021	0	1	01	01	H4007_021_0	6	2								1	10			20	20	2	2				1	01	0.00	0.00			2	1	1	1	2	2	24	3		1			100010	Services arranged by the plan's transportation provider to approved locations by means of car, van, or wheelchair access vehicle that provide members access to health benefits.											2				2				2			2		1	0.00	0.00	1	2
H4007	024	0	1	01	01	H4007_024_0	5	2								1	10			20	20	2	2				1	01	0.00	0.00			2	1	1	1	2	2	24	3		1			100010	Services arranged by the plan's transportation provider to approved locations by means of car, van, or wheelchair access vehicle that provide members access to health benefits.											2				2				2			2		1	0.00	0.00	1	2
H4007	025	0	1	01	01	H4007_025_0	4	2								1	10			20	20	2	2				1	01	0.00	0.00			2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H4007	026	0	1	01	01	H4007_026_0	5	2								2							2				1	11	0.00	0.00	0.00	0.00	2	1	1	1	2	2	36	3		1			101010	car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H4007	027	0	1	01	01	H4007_027_0	5	2								2							2				1	11	0.00	0.00	0.00	0.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H4007	028	0	1	02	01	H4007_028_0	5	2								1	10			20	20	2	2				1	01	0.00	0.00			2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H4007	029	0	1	01	01	H4007_029_0	5	2								1	10			20	20	2	2				1	01	0.00	0.00			2	1	1	1	2	2	36	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H4007	030	0	1	01	01	H4007_030_0	5	2								2							2				1	11	0.00	0.00	0.00	0.00	2	1	1	1	2	2	24	3		1			101010	car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H4007	801	0	1	01	01	H4007_801_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4007	802	0	1	01	01	H4007_802_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4007	819	0	1	01	01	H4007_819_0	7	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4007	820	0	1	01	01	H4007_820_0	7	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4007	829	0	1	01	01	H4007_829_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4007	830	0	1	01	01	H4007_830_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4007	833	0	1	02	01	H4007_833_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4007	834	0	1	02	01	H4007_834_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4007	835	0	1	02	01	H4007_835_0	6	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4007	836	0	1	02	01	H4007_836_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4007	837	0	1	02	01	H4007_837_0	6	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4007	838	0	1	02	01	H4007_838_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4036	008	0	1	04	01	H4036_008_0	6	2								1	10			20	20	2	2				1	01	295.00	295.00			2	1	2																																							
H4036	017	0	1	04	01	H4036_017_0	10	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H4036	020	0	1	04	01	H4036_020_0	7	2								2							2				1	11	310.00	310.00	310.00	310.00	2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H4036	022	0	1	04	01	H4036_022_0	9	2								2							2				1	11	280.00	280.00	280.00	280.00	2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H4036	024	0	1	04	01	H4036_024_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H4036	025	0	1	04	01	H4036_025_0	9	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	2																																							
H4036	026	0	1	04	01	H4036_026_0	10	2								2							2				1	11	245.00	245.00	245.00	245.00	2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H4036	028	0	1	04	01	H4036_028_0	8	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H4036	029	0	1	04	01	H4036_029_0	8	2								2							2				1	11	345.00	345.00	345.00	345.00	2	1	2																																							
H4036	030	0	1	04	01	H4036_030_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H4036	031	0	1	04	01	H4036_031_0	6	2								2							2				1	11	285.00	285.00	285.00	285.00	2	1	2																																							
H4036	032	0	1	04	01	H4036_032_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H4036	033	0	1	04	01	H4036_033_0	6	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H4036	034	0	1	04	01	H4036_034_0	6	2								1	10			20	20	2	2				1	01	295.00	295.00			2	1	2																																							
H4036	035	0	1	04	01	H4036_035_0	7	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H4036	036	0	1	04	01	H4036_036_0	7	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H4036	801	0	1	04	01	H4036_801_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4036	802	0	1	04	01	H4036_802_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4036	805	0	1	04	01	H4036_805_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4036	806	0	2	04	01	H4036_806_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4036	807	0	1	04	01	H4036_807_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4036	809	0	2	04	01	H4036_809_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4036	810	0	2	04	01	H4036_810_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4036	812	0	1	04	01	H4036_812_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4036	813	0	1	04	01	H4036_813_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4036	814	0	1	04	01	H4036_814_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4036	819	0	1	04	01	H4036_819_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4036	820	0	1	04	01	H4036_820_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4036	821	0	2	04	01	H4036_821_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4036	822	0	2	04	01	H4036_822_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4036	823	0	1	04	01	H4036_823_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4036	824	0	1	04	01	H4036_824_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4036	825	0	2	04	01	H4036_825_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4036	826	0	2	04	01	H4036_826_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4036	827	0	1	04	01	H4036_827_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4036	828	0	1	04	01	H4036_828_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4036	829	0	2	04	01	H4036_829_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4036	830	0	2	04	01	H4036_830_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4045	001	0	1	01	01	H4045_001_0	4	2								1	11	20	20	20	20	2	2				2							2	2																																							
H4053	001	0	1	20	08	H4053_001_0	1																																																																			
H4053	002	0	1	20	08	H4053_002_0	1																																																																			
H4054	001	0	1	01	01	H4054_001_0	5	2								1	11	20	20	20	20	2	2				2							2	1	2											2	2	28	3		1			011011		2				2				2			2		2			2	2
H4073	001	0	1	01	01	H4073_001_0	7	2								2							2				1	11	280.00	280.00	280.00	280.00	2	1	2																																							
H4073	002	0	1	01	01	H4073_002_0	17	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H4073	003	0	1	01	01	H4073_003_0	17	2								2							2				1	11	285.00	285.00	285.00	285.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H4074	001	0	1	20	08	H4074_001_0	1																																																																			
H4074	002	0	1	20	08	H4074_002_0	2																																																																			
H4091	001	0	1	04	01	H4091_001_0	5	2								1	11	20	20	20	20	2	2				2							2	2																																							
H4091	002	0	1	04	01	H4091_002_0	5	2								1	11	20	20	20	20	2	2				2							2	2																																							
H4091	003	0	1	04	01	H4091_003_0	7	2								1	10			20	20	2	2				1	01	150.00	150.00			2	2	2																																							
H4093	001	0	1	01	01	H4093_001_0	5	2								1	11	20	20	20	20	2	2				2							2	1	2											2	2	36	3		1			011011		2				2				2			2		2			2	2
H4093	004	0	1	01	01	H4093_004_0	5	2								1	11	20	20	20	20	2	2				2							2	1	2											2	2	36	3		1			011011		2				2				2			2		2			2	2
H4094	001	0	1	02	01	H4094_001_0	3	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H4105	001	0	1	20	08	H4105_001_0	1																																																																			
H4105	002	0	1	20	08	H4105_002_0	1																																																																			
H4118	001	0	1	20	08	H4118_001_0	1																																																																			
H4118	002	0	1	20	08	H4118_002_0	1																																																																			
H4140	001	0	1	01	01	H4140_001_0	11	2								1	10			20	20	2	2				1	01	125.00	125.00			2	1	1	1	2	1				2			000011												2				2				2			2		2			2	2
H4140	002	0	1	01	01	H4140_002_0	11	2								1	10			20	20	2	2				2							1	1	1	2	1				2			000011												2				2				2			2		2			2	2
H4140	004	0	1	01	01	H4140_004_0	11	2								1	10			20	20	2	2				1	01	100.00	100.00			2	1	1	1	2	1				2			000011												2				2				2			2		2			2	2
H4140	005	0	1	01	01	H4140_005_0	11	2								2							2				1	11	100.00	100.00	200.00	200.00	2	1	1	1	2	1				2			000011												2				2				2			2		2			2	2
H4140	009	0	1	01	01	H4140_009_0	11	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	1				2			000011												2				2				2			2		2			2	2
H4140	010	0	1	01	01	H4140_010_0	11	2								1	10			20	20	2	2				1	01	50.00	50.00			2	1	1	1	2	1				2			000011												2				2				2			2		2			2	2
H4140	011	0	1	01	01	H4140_011_0	11	2								1	10			20	20	2	2				1	01	100.00	100.00			2	1	1	1	2	1				2			000011												2				2				2			2		2			2	2
H4140	012	0	1	01	01	H4140_012_0	11	2								1	10			20	20	2	2				1	01	125.00	125.00			2	1	1	1	2	1				2			000011												2				2				2			2		2			2	2
H4140	013	0	1	01	01	H4140_013_0	11	2								1	10			20	20	2	2				1	01	50.00	50.00			2	1	1	1	2	1				2			000011												2				2				2			2		2			2	2
H4141	003	0	1	01	01	H4141_003_0	8	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	48	3		1			100010	By means of car, van, or wheelchair access vehicle that provide members access to health benefits. This benefit is not to exceed 75 miles per trip.											2				2				2			2		1	0.00	0.00	1	2
H4141	015	0	1	01	01	H4141_015_0	10	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	36	3		1			100010	Means of car, van, or wheelchair access vehicle that provide members access to health benefits. This benefit is not to exceed 75 miles per trip.											2				2				2			2		1	0.00	0.00	1	2
H4141	017	3	1	01	01	H4141_017_3	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	This benefit is not to exceed 75 miles per trip											2				2				2			2		1	0.00	0.00	1	2
H4141	017	5	1	01	01	H4141_017_5	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	12	3		1			101010	Car, Wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H4141	021	0	1	01	01	H4141_021_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	48	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H4141	801	0	1	01	01	H4141_801_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4141	802	0	1	01	01	H4141_802_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4141	805	0	1	01	01	H4141_805_0	6	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4141	806	0	1	01	01	H4141_806_0	6	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4142	001	0	1	20	08	H4142_001_0	1																																																																			
H4142	002	0	1	20	08	H4142_002_0	1																																																																			
H4152	004	0	1	01	01	H4152_004_0	6	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	2	2	24	3		1			101011	The benefit is counted as one way trips no more than a 20 mile distance to and from plan-specified. Members must use the transportation platform to book rides. Ambulance/stretcher transportation N/A.											2				2				2			2		2			2	2
H4152	005	0	1	01	01	H4152_005_0	7	2								2							2				1	11	75.00	75.00	75.00	75.00	2	1	1	1	2	2	24	3		1			101011	The benefit is counted as one way trips no more than a 20 mile distance to and from plan-specified. Members must use the transportation platform to book rides. Ambulance/stretcher transportation N/A.											2				2				2			2		2			2	2
H4152	007	0	1	02	01	H4152_007_0	7	2								2							2				1	11	75.00	75.00	75.00	75.00	2	1	1	1	2	2	24	3		1			101011	The benefit is counted as one way trips no more than a 20 mile distance to and from plan-specified. Members must use the transportation platform to book rides. Ambulance/stretcher transportation N/A.											2				2				2			2		2			2	2
H4152	013	0	1	01	01	H4152_013_0	7	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	2	2	24	3		1			101011	The benefit is counted as one way trips no more than a 20 mile distance to and from plan-specified. Members must use the transportation platform to book rides. Ambulance/stretcher transportation N/A.											2				2				2			2		2			2	2
H4152	018	0	1	02	01	H4152_018_0	7	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	2	2	24	3		1			101011	The benefit is counted as one way trips no more than a 20 mile distance to and from plan-specified. Members must use the transportation platform to book rides. Ambulance/stretcher transportation N/A.											2				2				2			2		2			2	2
H4152	020	0	1	02	01	H4152_020_0	8	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	2	2	24	3		1			101011	The benefit is counted as one way trips no more than a 20 mile distance to and from plan-specified. Members must use the transportation platform to book rides. Ambulance/stretcher transportation N/A.											2				2				2			2		2			2	2
H4152	021	0	1	01	01	H4152_021_0	9	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	72	3		1			101011	The benefit is counted as one way trips no more than a 20 mile distance to and from plan-specified. Members must use the transportation platform to book rides. Ambulance/stretcher transportation N/A.											2				2				2			2		2			2	2
H4152	815	0	1	02	01	H4152_815_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4152	817	0	1	01	01	H4152_817_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4161	002	0	1	01	01	H4161_002_0	7	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	2	2	80	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H4161	003	0	1	01	01	H4161_003_0	7	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	90	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H4161	004	0	1	01	01	H4161_004_0	7	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H4161	005	0	1	01	01	H4161_005_0	7	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H4161	006	0	1	01	01	H4161_006_0	8	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H4161	007	0	1	01	01	H4161_007_0	7	2								1	10			20	20	2	2				1	01	260.00	260.00			2	1	2																																							
H4161	009	0	1	01	01	H4161_009_0	7	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	2	2	80	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H4161	010	0	1	01	01	H4161_010_0	7	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	2	2	96	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H4161	011	0	1	01	01	H4161_011_0	7	2								1	10			20	20	2	2				1	01	100.00	100.00			2	1	1	1	2	2	22	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H4161	012	0	1	01	01	H4161_012_0	7	2								1	10			20	20	2	2				1	01	100.00	100.00			2	1	1	1	2	2	4	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H4161	013	0	1	01	01	H4161_013_0	7	2								1	10			20	20	2	2				1	01	195.00	195.00			2	1	1	1	2	1				1			011110												2				2				2			2		1	0.00	0.00	2	2
H4172	001	0	1	01	01	H4172_001_0	4	2								1	11	20	20	20	20	2	2				2							2	2																																							
H4172	003	0	1	01	01	H4172_003_0	5	2								1	11	20	20	20	20	2	2				2							2	2																																							
H4185	001	0	1	20	08	H4185_001_0	1																																																																			
H4185	002	0	1	20	08	H4185_002_0	1																																																																			
H4198	007	0	1	01	01	H4198_007_0	4	2								2							2				1	11	250.00	250.00	250.00	250.00	1	1	2																																							
H4198	008	0	1	01	01	H4198_008_0	4	2								2							2				1	11	275.00	275.00	275.00	275.00	1	1	2																																							
H4198	009	0	1	01	01	H4198_009_0	5	2								2							2				1	11	250.00	250.00	250.00	250.00	1	1	2																																							
H4198	803	0	1	01	01	H4198_803_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4203	001	0	1	20	08	H4203_001_0	1																																																																			
H4203	002	0	1	20	08	H4203_002_0	1																																																																			
H4213	016	1	1	09	04	H4213_016_1	2	2								1	10			20	20	2	2				1	01	325.00	325.00			2	2	2																																							
H4213	016	3	1	09	04	H4213_016_3	2	2								1	10			20	20	2	2				1	01	325.00	325.00			2	2	2																																							
H4213	016	4	1	09	04	H4213_016_4	2	2								1	10			20	20	2	2				1	01	325.00	325.00			2	2	2																																							
H4213	017	1	1	09	04	H4213_017_1	3	2								1	10			20	20	2	2				1	01	325.00	325.00			2	2	2																																							
H4213	017	5	1	09	04	H4213_017_5	3	2								1	10			20	20	2	2				1	01	325.00	325.00			2	2	2																																							
H4213	017	6	1	09	04	H4213_017_6	3	2								1	10			20	20	2	2				1	01	325.00	325.00			2	2	2																																							
H4227	001	0	1	01	01	H4227_001_0	9	2								1	11	35	35	35	35	2	2				2							1	1	1	2	2	80	3		1			100000	May consist of a car, shuttle, or van service depending on appropriateness for the situation and the members needs.											2				2				2			2		2			2	2
H4227	002	0	1	01	01	H4227_002_0	9	2								1	11	35	35	35	35	2	2				2							1	1	1	2	2	100	3		1			100000	May consist of a car, shuttle, or van service depending on appropriateness for the situation and the members needs.											2				2				2			2		2			2	2
H4232	001	0	1	01	01	H4232_001_0	4	2								1	11	20	20	20	20	2	2				2							1	1	2											2	2	32	3		1			000011		2				2				2			2		1	0.00	0.00	2	2
H4232	003	0	1	01	01	H4232_003_0	6	2								1	11	20	20	20	20	2	2				2							1	1	2											2	2	30	3		1			000011		2				2				2			2		1	0.00	0.00	2	2
H4235	001	0	1	20	08	H4235_001_0	1																																																																			
H4235	002	0	1	20	08	H4235_002_0	1																																																																			
H4256	001	0	1	20	08	H4256_001_0	2																																																																			
H4256	002	0	1	20	08	H4256_002_0	2																																																																			
H4277	001	0	1	04	01	H4277_001_0	5	2								2							2				1	11	250.00	250.00	250.00	250.00	1	1	2																																							
H4279	001	0	1	01	01	H4279_001_0	8	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			100011	Other modes of transportation include wheelchair vans as well as vehicles that are contracted with various vendors.											2				2				2			2		2			1	2
H4279	004	0	1	01	01	H4279_004_0	8	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	20	3		1			100011	Other modes of transportation include wheelchair vans as well as vehicles that are contracted with various vendors.											2				2				2			2		2			1	2
H4286	001	0	1	01	01	H4286_001_0	10	2								2							2				2							1	1	1	2	1				2			000010												2				2				2			2		2			1	2
H4286	002	0	1	01	01	H4286_002_0	11	2								2							2				2							1	1	1	2	1				2			000010												2				2				2			2		2			1	2
H4286	003	0	1	01	01	H4286_003_0	9	2								1	10			20	20	2	2				1	01	100.00	100.00			2	1	1	1	2	1				2			000010												2				2				2			2		2			1	2
H4305	001	0	1	20	08	H4305_001_0	1																																																																			
H4305	002	0	1	20	08	H4305_002_0	1																																																																			
H4326	001	0	1	20	08	H4326_001_0	1																																																																			
H4326	002	0	1	20	08	H4326_002_0	1																																																																			
H4343	001	0	1	01	01	H4343_001_0	18	2								2							2				1	11	330.00	330.00	330.00	330.00	2	1	2																																							
H4343	003	0	1	01	01	H4343_003_0	18	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	1				1			011010												2				2				2			2		1	0.00	0.00	1	2
H4346	001	0	1	01	01	H4346_001_0	7	2								2							2				1	11	195.00	195.00	195.00	195.00	2	1	1	1	2	2	72	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H4346	005	0	1	01	01	H4346_005_0	7	2								2							2				1	11	195.00	195.00	195.00	195.00	2	1	1	1	2	2	72	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H4346	006	0	1	01	01	H4346_006_0	7	2								2							2				1	11	195.00	195.00	195.00	195.00	2	1	1	1	2	2	72	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H4346	009	0	1	01	01	H4346_009_0	7	2								2							2				1	11	195.00	195.00	195.00	195.00	2	1	2																																							
H4346	010	0	1	01	01	H4346_010_0	7	2								2							2				1	11	195.00	195.00	195.00	195.00	2	1	1	1	2	2	6	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H4346	012	0	1	01	01	H4346_012_0	7	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H4346	014	0	1	01	01	H4346_014_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H4346	017	0	1	01	01	H4346_017_0	7	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	72	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H4346	019	0	1	01	01	H4346_019_0	7	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H4346	025	0	1	01	01	H4346_025_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	52	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H4346	026	0	1	01	01	H4346_026_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	52	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H4346	029	0	1	01	01	H4346_029_0	6	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H4346	805	0	1	01	01	H4346_805_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4346	806	0	2	01	01	H4346_806_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4346	809	0	1	01	01	H4346_809_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4346	810	0	2	01	01	H4346_810_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4346	812	0	1	01	01	H4346_812_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4346	821	0	2	01	01	H4346_821_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4346	823	0	1	01	01	H4346_823_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4346	824	0	1	01	01	H4346_824_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4346	826	0	1	01	01	H4346_826_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4346	827	0	2	01	01	H4346_827_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4346	828	0	2	01	01	H4346_828_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4346	830	0	2	01	01	H4346_830_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4393	001	0	1	20	08	H4393_001_0	1																																																																			
H4393	002	0	1	20	08	H4393_002_0	1																																																																			
H4402	001	0	1	20	08	H4402_001_0	1																																																																			
H4402	002	0	1	20	08	H4402_002_0	1																																																																			
H4407	004	0	1	01	01	H4407_004_0	9	2								1	10			20	20	2	2				1	01	245.00	245.00			2	1	1	1	2	1				1			011011												2				2				2			2		2			1	2
H4407	011	0	1	01	01	H4407_011_0	6	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	30	3		1			011011												2				2				2			2		2			1	2
H4407	027	0	1	01	01	H4407_027_0	7	2								1	10			20	20	2	2				1	01	255.00	255.00			2	1	2																																							
H4407	028	0	1	01	01	H4407_028_0	7	2								1	10			20	20	2	2				1	01	270.00	270.00			2	1	2																																							
H4407	029	0	1	01	01	H4407_029_0	8	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	50	3		1			011011												2				2				2			2		2			1	2
H4407	030	1	1	01	01	H4407_030_1	7	2								1	10			20	20	2	2				1	01	255.00	255.00			2	1	2																																							
H4407	030	2	1	01	01	H4407_030_2	7	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H4407	030	3	1	01	01	H4407_030_3	7	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H4439	001	0	1	01	01	H4439_001_0	5	2								1	11	20	20	20	20	2	2				2							2	1	2											2	2	36	3		1			011011		2				2				2			2		2			2	2
H4439	002	0	1	01	01	H4439_002_0	7	2								1	11	20	20	20	20	2	2				2							2	1	2											2	2	36	3		1			011011		2				2				2			2		2			2	2
H4461	004	0	1	01	01	H4461_004_0	4	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H4461	022	0	1	01	01	H4461_022_0	9	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	2	100	3		1			100010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H4461	025	0	1	01	01	H4461_025_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H4461	029	0	1	01	01	H4461_029_0	8	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H4461	035	0	1	01	01	H4461_035_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H4461	038	0	1	01	01	H4461_038_0	7	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	2	100	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H4461	039	0	1	01	01	H4461_039_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H4461	040	0	1	01	01	H4461_040_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H4461	041	0	1	01	01	H4461_041_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H4461	042	0	1	01	01	H4461_042_0	7	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	2	60	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H4461	806	0	1	01	01	H4461_806_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4461	807	0	1	01	01	H4461_807_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4461	810	0	1	01	01	H4461_810_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4461	811	0	1	01	01	H4461_811_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4471	001	0	1	01	01	H4471_001_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	65	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H4471	002	0	1	01	01	H4471_002_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H4471	003	0	1	01	01	H4471_003_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H4471	004	0	1	01	01	H4471_004_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H4471	005	0	1	01	01	H4471_005_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H4471	006	0	1	01	01	H4471_006_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H4471	007	0	1	01	01	H4471_007_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H4471	009	0	1	01	01	H4471_009_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H4490	001	0	1	01	01	H4490_001_0	5	2								1	11	20	20	20	20	2	2				2							1	1	2											2	2	40	3		1			000011		2				2				2			2		1	0.00	0.00	2	2
H4490	003	0	1	01	01	H4490_003_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4497	001	1	1	04	01	H4497_001_1	12	2								1	10			50	50	2	2				1	01	200.00	200.00			2	1	1	1	2	2	24	6	24 trips per each discharge must be requested within 90 days of discharge from an acute inpatient hospital. Prior authorization may be required. Please contact Plan for details.	1			001011												2				2				2			2		2			1	2
H4497	001	2	1	04	01	H4497_001_2	12	2								1	10			50	50	2	2				1	01	245.00	245.00			2	1	1	1	2	2	24	6	24 trips per each discharge must be requested within 90 days of discharge from an acute inpatient hospital. Prior authorization may be required. Please contact Plan for details.	1			001011												2				2				2			2		2			1	2
H4497	001	3	1	04	01	H4497_001_3	15	2								1	10			50	50	2	2				1	01	200.00	200.00			2	1	1	1	2	2	24	6	24 trips per each discharge must be requested within 90 days of discharge from an acute inpatient hospital. Prior authorization may be required. Please contact Plan for details.	1			001011												2				2				2			2		2			1	2
H4497	002	1	1	04	01	H4497_002_1	12	2								1	10			50	50	2	2				1	01	200.00	200.00			2	1	1	1	2	2	24	6	24 trips per each discharge must be requested within 90 days of discharge from an acute inpatient hospital. Prior authorization may be required. Please contact Plan for details.	1			001011												2				2				2			2		2			1	2
H4497	002	2	1	04	01	H4497_002_2	12	2								1	10			50	50	2	2				1	01	245.00	245.00			2	1	1	1	2	2	24	6	24 trips per each discharge must be requested within 90 days of discharge from an acute inpatient hospital. Prior authorization may be required. Please contact Plan for details.	1			001011												2				2				2			2		2			1	2
H4497	002	3	1	04	01	H4497_002_3	12	2								1	10			50	50	2	2				1	01	200.00	200.00			2	1	1	1	2	2	24	6	24 trips per each discharge must be requested within 90 days of discharge from an acute inpatient hospital. Prior authorization may be required. Please contact Plan for details.	1			001011												2				2				2			2		2			1	2
H4497	003	1	1	04	01	H4497_003_1	12	2								1	10			50	50	2	2				1	01	200.00	200.00			2	1	1	1	2	2	24	6	24 trips per each discharge must be requested within 90 days of discharge from an acute inpatient hospital. Prior authorization may be required. Please contact Plan for details.	1			001011												2				2				2			2		2			1	2
H4497	003	2	1	04	01	H4497_003_2	12	2								1	10			50	50	2	2				1	01	245.00	245.00			2	1	1	1	2	2	24	6	24 trips per each discharge must be requested within 90 days of discharge from an acute inpatient hospital. Prior authorization may be required. Please contact Plan for details.	1			001011												2				2				2			2		2			1	2
H4497	003	3	1	04	01	H4497_003_3	12	2								1	10			50	50	2	2				1	01	200.00	200.00			2	1	1	1	2	2	24	6	24 trips per each discharge must be requested within 90 days of discharge from an acute inpatient hospital. Prior authorization may be required. Please contact Plan for details.	1			001011												2				2				2			2		2			1	2
H4497	005	3	1	04	01	H4497_005_3	12	2								1	10			50	50	2	2				1	01	200.00	200.00			2	1	1	1	2	2	24	6	24 trips per each discharge must be requested within 90 days of discharge from an acute inpatient hospital. Prior authorization may be required. Please contact Plan for details.	1			001011												2				2				2			2		2			1	2
H4497	005	4	1	04	01	H4497_005_4	12	2								1	10			50	50	2	2				1	01	200.00	200.00			2	1	1	1	2	2	24	6	24 trips per each discharge must be requested within 90 days of discharge from an acute inpatient hospital. Prior authorization may be required. Please contact Plan for details.	1			001011												2				2				2			2		2			1	2
H4497	801	0	1	04	01	H4497_801_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4497	802	0	1	04	01	H4497_802_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4497	803	0	1	04	01	H4497_803_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4506	003	0	1	01	01	H4506_003_0	21	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	48	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H4506	010	0	1	01	01	H4506_010_0	16	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	36	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H4506	029	0	1	02	01	H4506_029_0	17	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H4513	009	0	1	01	01	H4513_009_0	5	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	2	50	3		1			011011												2				2				2			2		2			1	2
H4513	026	0	1	01	01	H4513_026_0	8	2								1	10			20	20	2	2				1	01	270.00	270.00			2	1	1	1	2	1				1			011011												2				2				2			2		2			1	2
H4513	027	0	1	01	01	H4513_027_0	9	2								1	10			20	20	2	2				1	01	75.00	75.00			2	1	1	1	2	2	50	3		1			011011												2				2				2			2		2			1	2
H4513	030	0	1	01	01	H4513_030_0	7	2								1	10			20	20	2	2				1	01	260.00	260.00			2	1	2																																							
H4513	033	0	1	01	01	H4513_033_0	6	2								1	10			20	20	2	2				1	01	265.00	265.00			2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			1	2
H4513	034	0	1	01	01	H4513_034_0	8	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	50	3		1			011011												2				2				2			2		2			1	2
H4513	035	0	1	01	01	H4513_035_0	8	2								1	10			20	20	2	2				1	01	270.00	270.00			2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			1	2
H4513	036	0	1	02	01	H4513_036_0	7	2								1	10			20	20	2	2				1	01	255.00	255.00			2	1	2																																							
H4513	037	0	1	01	01	H4513_037_0	7	2								1	10			20	20	2	2				1	01	270.00	270.00			2	1	1	1	2	2	50	3		1			011011												2				2				2			2		2			1	2
H4513	038	0	1	01	01	H4513_038_0	7	2								1	10			20	20	2	2				1	01	295.00	295.00			2	1	2																																							
H4513	039	0	1	01	01	H4513_039_0	8	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	50	3		1			011011												2				2				2			2		2			1	2
H4513	045	0	1	01	01	H4513_045_0	5	2								1	10			20	20	2	2				1	01	265.00	265.00			2	1	1	1	2	2	10	3		1			011011												2				2				2			2		2			1	2
H4513	046	1	1	01	01	H4513_046_1	7	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H4513	046	2	1	01	01	H4513_046_2	7	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H4513	047	0	1	01	01	H4513_047_0	7	2								1	10			20	20	2	2				1	01	255.00	255.00			2	1	1	1	2	2	10	3		1			011011												2				2				2			2		2			1	2
H4513	048	0	1	01	01	H4513_048_0	7	2								1	10			20	20	2	2				1	01	290.00	290.00			2	1	1	1	2	2	10	3		1			011011												2				2				2			2		2			1	2
H4513	049	1	1	01	01	H4513_049_1	7	2								1	10			20	20	2	2				1	01	245.00	245.00			2	1	2																																							
H4513	049	2	1	01	01	H4513_049_2	7	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H4513	049	3	1	01	01	H4513_049_3	7	2								1	10			20	20	2	2				1	01	270.00	270.00			2	1	2																																							
H4513	049	4	1	01	01	H4513_049_4	7	2								1	10			20	20	2	2				1	01	260.00	260.00			2	1	2																																							
H4513	049	5	1	01	01	H4513_049_5	7	2								1	10			20	20	2	2				1	01	330.00	330.00			2	1	2																																							
H4513	050	0	1	01	01	H4513_050_0	7	2								1	10			20	20	2	2				1	01	290.00	290.00			2	1	2																																							
H4513	051	0	1	01	01	H4513_051_0	7	2								1	10			20	20	2	2				1	01	290.00	290.00			2	1	2																																							
H4513	052	0	1	01	01	H4513_052_0	7	2								1	10			20	20	2	2				1	01	260.00	260.00			2	1	2																																							
H4513	053	0	1	01	01	H4513_053_0	8	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			011011												2				2				2			2		2			1	2
H4513	055	0	1	01	01	H4513_055_0	8	2								1	10			20	20	2	2				1	01	255.00	255.00			2	1	1	1	2	2	40	3		1			011011												2				2				2			2		2			1	2
H4513	059	0	1	01	01	H4513_059_0	7	2								1	10			20	20	2	2				1	01	260.00	260.00			2	1	1	1	2	2	30	3		1			011011												2				2				2			2		2			1	2
H4513	060	1	1	01	01	H4513_060_1	9	2								1	10			20	20	2	2				1	01	100.00	100.00			2	1	1	1	2	2	50	3		1			011011												2				2				2			2		2			1	2
H4513	060	2	1	01	01	H4513_060_2	9	2								1	10			20	20	2	2				1	01	100.00	100.00			2	1	1	1	2	2	50	3		1			011011												2				2				2			2		2			1	2
H4513	060	3	1	01	01	H4513_060_3	9	2								1	10			20	20	2	2				1	01	100.00	100.00			2	1	1	1	2	2	50	3		1			011011												2				2				2			2		2			1	2
H4513	060	4	1	01	01	H4513_060_4	9	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	50	3		1			011011												2				2				2			2		2			1	2
H4513	060	5	1	01	01	H4513_060_5	9	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			011011												2				2				2			2		2			1	2
H4513	061	1	1	01	01	H4513_061_1	8	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	1				1			011011												2				2				2			2		2			1	2
H4513	061	2	1	01	01	H4513_061_2	8	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	1				1			011011												2				2				2			2		2			1	2
H4513	061	3	1	01	01	H4513_061_3	8	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	2	60	3		1			011011												2				2				2			2		2			1	2
H4513	061	4	1	01	01	H4513_061_4	8	2								1	10			20	20	2	2				1	01	225.00	225.00			2	1	1	1	2	2	60	3		1			011011												2				2				2			2		2			1	2
H4513	061	5	1	01	01	H4513_061_5	8	2								1	10			20	20	2	2				1	01	230.00	230.00			2	1	1	1	2	2	60	3		1			011011												2				2				2			2		2			1	2
H4513	063	0	1	01	01	H4513_063_0	10	2								1	10			20	20	2	2				2							1	1	1	2	2	50	3		1			011011												2				2				2			2		2			1	2
H4513	064	0	1	01	01	H4513_064_0	8	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	1				1			011011												2				2				2			2		2			1	2
H4513	068	1	1	01	01	H4513_068_1	7	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	2																																							
H4513	068	2	1	01	01	H4513_068_2	7	2								1	10			20	20	2	2				1	01	260.00	260.00			2	1	2																																							
H4513	068	3	1	01	01	H4513_068_3	7	2								1	10			20	20	2	2				1	01	265.00	265.00			2	1	2																																							
H4513	073	0	1	01	01	H4513_073_0	8	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	50	3		1			011011												2				2				2			2		2			1	2
H4513	074	0	1	01	01	H4513_074_0	8	2								1	10			20	20	2	2				1	01	260.00	260.00			2	1	1	1	2	1				1			011011												2				2				2			2		2			1	2
H4513	075	0	1	01	01	H4513_075_0	9	2								1	10			20	20	2	2				1	01	100.00	100.00			2	1	1	1	2	2	50	3		1			011011												2				2				2			2		2			1	2
H4513	076	1	1	01	01	H4513_076_1	7	2								1	10			20	20	2	2				1	01	285.00	285.00			2	1	1	1	2	2	10	3		1			011011												2				2				2			2		2			1	2
H4513	076	2	1	01	01	H4513_076_2	7	2								1	10			20	20	2	2				1	01	260.00	260.00			2	1	1	1	2	2	10	3		1			011011												2				2				2			2		2			1	2
H4513	077	1	1	01	01	H4513_077_1	7	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	10	3		1			011011												2				2				2			2		2			1	2
H4513	077	2	1	01	01	H4513_077_2	7	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	10	3		1			011011												2				2				2			2		2			1	2
H4513	077	3	1	01	01	H4513_077_3	7	2								1	10			20	20	2	2				1	01	255.00	255.00			2	1	1	1	2	2	10	3		1			011011												2				2				2			2		2			1	2
H4513	078	0	1	01	01	H4513_078_0	6	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	2																																							
H4513	079	0	1	01	01	H4513_079_0	8	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	40	3		1			011011												2				2				2			2		2			1	2
H4513	080	0	1	01	01	H4513_080_0	8	2								1	10			20	20	2	2				1	01	210.00	210.00			2	1	1	1	2	2	30	3		1			011011												2				2				2			2		2			1	2
H4513	081	0	1	01	01	H4513_081_0	9	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	40	3		1			011011												2				2				2			2		2			1	2
H4513	082	0	1	01	01	H4513_082_0	6	2								1	10			20	20	2	2				1	01	220.00	220.00			2	1	2																																							
H4513	083	1	1	01	01	H4513_083_1	7	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H4513	083	2	1	01	01	H4513_083_2	7	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H4513	083	3	1	01	01	H4513_083_3	7	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	2																																							
H4513	083	4	1	01	01	H4513_083_4	7	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H4513	083	5	1	01	01	H4513_083_5	7	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H4513	083	6	1	01	01	H4513_083_6	7	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H4513	083	7	1	01	01	H4513_083_7	7	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H4513	084	0	1	02	01	H4513_084_0	7	2								1	10			20	20	2	2				1	01	260.00	260.00			2	1	1	1	2	2	30	3		1			011011												2				2				2			2		2			1	2
H4513	085	0	1	01	01	H4513_085_0	7	2								1	10			20	20	2	2				1	01	260.00	260.00			2	1	1	1	2	2	30	3		1			011011												2				2				2			2		2			1	2
H4513	086	0	1	01	01	H4513_086_0	7	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			1	2
H4513	804	0	1	01	01	H4513_804_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4513	815	0	1	01	01	H4513_815_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4513	817	0	1	01	01	H4513_817_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4513	819	0	1	01	01	H4513_819_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4513	821	0	1	01	01	H4513_821_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4514	007	0	1	02	01	H4514_007_0	5	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	2																																							
H4514	013	1	1	02	01	H4514_013_1	3	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H4514	013	2	1	02	01	H4514_013_2	3	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H4514	013	3	1	02	01	H4514_013_3	3	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H4514	014	0	1	02	01	H4514_014_0	5	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	2																																							
H4514	015	0	1	02	01	H4514_015_0	5	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	2																																							
H4514	016	0	1	02	01	H4514_016_0	3	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H4514	017	0	1	02	01	H4514_017_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H4514	018	0	1	02	01	H4514_018_0	3	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H4514	019	0	1	02	01	H4514_019_0	3	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H4514	021	0	1	02	01	H4514_021_0	3	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H4514	801	0	1	01	01	H4514_801_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4514	803	0	1	01	01	H4514_803_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4514	806	0	1	01	01	H4514_806_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4517	001	0	1	20	08	H4517_001_0	1																																																																			
H4517	002	0	1	20	08	H4517_002_0	1																																																																			
H4518	001	0	1	20	08	H4518_001_0	1																																																																			
H4518	002	0	1	20	08	H4518_002_0	1																																																																			
H4523	001	0	1	01	01	H4523_001_0	8	2								2							2				1	11	285.00	285.00	285.00	285.00	2	1	2																																							
H4523	015	0	1	01	01	H4523_015_0	8	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H4523	020	0	1	01	01	H4523_020_0	8	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	2																																							
H4523	021	0	1	01	01	H4523_021_0	8	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H4523	024	0	1	01	01	H4523_024_0	8	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H4523	801	0	1	01	01	H4523_801_0	8	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4523	802	0	1	01	01	H4523_802_0	8	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4527	001	0	1	02	01	H4527_001_0	5	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	60	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H4527	002	0	1	02	01	H4527_002_0	5	2								2							2				1	11	135.00	135.00	135.00	135.00	2	1	1	1	2	2	12	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H4527	003	0	1	02	01	H4527_003_0	3	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H4527	004	0	1	02	01	H4527_004_0	3	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H4527	005	0	1	02	01	H4527_005_0	5	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H4527	006	0	1	02	01	H4527_006_0	3	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H4527	013	0	1	02	01	H4527_013_0	5	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H4527	015	0	1	02	01	H4527_015_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H4527	024	0	1	02	01	H4527_024_0	4	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H4527	037	0	1	02	01	H4527_037_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H4527	039	0	1	02	01	H4527_039_0	5	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H4527	040	0	1	02	01	H4527_040_0	5	2								2							2				1	11	210.00	210.00	210.00	210.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H4527	041	0	1	02	01	H4527_041_0	5	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	2	2	60	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H4527	042	0	1	02	01	H4527_042_0	5	2								2							2				1	11	80.00	80.00	80.00	80.00	2	1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H4527	045	0	1	02	01	H4527_045_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H4527	048	0	1	02	01	H4527_048_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	12	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H4527	051	0	1	02	01	H4527_051_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	12	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H4527	801	0	1	01	01	H4527_801_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4527	802	0	1	01	01	H4527_802_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4527	803	0	1	01	01	H4527_803_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4537	001	0	1	04	01	H4537_001_0	18	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H4537	002	0	1	04	01	H4537_002_0	18	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H4537	003	0	1	04	01	H4537_003_0	18	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H4537	004	0	1	04	01	H4537_004_0	18	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H4544	001	0	1	04	01	H4544_001_0	4	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H4544	002	0	1	04	01	H4544_002_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H4604	003	0	1	02	01	H4604_003_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H4604	005	0	1	02	01	H4604_005_0	4	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H4604	011	0	1	02	01	H4604_011_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H4604	012	0	1	02	01	H4604_012_0	5	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H4604	013	0	1	02	01	H4604_013_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	12	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H4604	014	0	1	02	01	H4604_014_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H4604	015	0	1	02	01	H4604_015_0	5	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H4604	016	0	1	02	01	H4604_016_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H4604	017	0	1	02	01	H4604_017_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H4604	018	0	1	02	01	H4604_018_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H4604	019	0	1	02	01	H4604_019_0	4	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H4604	020	0	1	02	01	H4604_020_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H4604	022	0	1	02	01	H4604_022_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H4604	801	0	1	01	01	H4604_801_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4604	803	0	1	01	01	H4604_803_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4604	805	0	1	01	01	H4604_805_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4604	809	0	1	01	01	H4604_809_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4604	810	0	1	01	01	H4604_810_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4604	811	0	1	01	01	H4604_811_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4605	001	0	1	04	01	H4605_001_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H4605	002	0	1	04	01	H4605_002_0	8	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H4605	004	0	1	04	01	H4605_004_0	8	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H4605	801	0	1	04	01	H4605_801_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4605	802	0	1	04	01	H4605_802_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4605	803	0	1	04	01	H4605_803_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4605	804	0	1	04	01	H4605_804_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4620	001	0	1	04	01	H4620_001_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	24	3		1			100000	The appropriate mode of transportation will be selected by the transportation vendor. Options include car, van, or wheelchair assisted vehicle.											2				2				2			2		2			2	2
H4620	801	0	1	04	01	H4620_801_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4620	802	0	1	04	01	H4620_802_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4620	803	0	1	04	01	H4620_803_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4620	804	0	1	04	01	H4620_804_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4623	001	0	1	02	01	H4623_001_0	12	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H4623	002	0	1	02	01	H4623_002_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H4624	001	0	1	01	01	H4624_001_0	10	2								1	10			20	20	2	2				1	01	175.00	175.00			2	1	1	1	2	2	24	3		1			111010	Mode of Transportation will be taxi, rideshare services, van and wheelchair accessible vehicles.											2				2				2			2		1	0.00	0.00	2	2
H4624	003	0	1	01	01	H4624_003_0	8	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	2	24	3		1			110010	Mode of Transportation will be taxi, van and wheelchair accessible vehicles.											2				2				2			2		1	0.00	0.00	2	2
H4624	006	0	1	01	01	H4624_006_0	10	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	2	48	3		1			111010	Mode of Transportation will be taxi, rideshare services, van and wheelchair accessible vehicles.											2				2				2			2		1	0.00	0.00	2	2
H4624	010	0	1	01	01	H4624_010_0	9	2								1	10			20	20	2	2				1	01	175.00	175.00			2	1	1	1	2	2	30	7		1			111010	Mode of Transportation will be taxi, rideshare services, van and wheelchair accessible vehicles.											2				2				2			2		1	0.00	0.00	2	2
H4624	011	0	1	01	01	H4624_011_0	7	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	2	48	3		1			111010	Mode of Transportation will be taxi, rideshare services, van and wheelchair accessible vehicles.											2				2				2			2		1	0.00	0.00	2	2
H4624	012	0	1	01	01	H4624_012_0	9	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	2	48	3		1			111010	Mode of Transportation will be taxi, rideshare services, van and wheelchair accessible vehicles.											2				2				2			2		1	0.00	0.00	2	2
H4624	016	0	1	01	01	H4624_016_0	10	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			111010	Mode of Transportation will be taxi, rideshare services, van and wheelchair accessible vehicles.											2				2				2			2		1	0.00	0.00	2	2
H4624	019	0	1	01	01	H4624_019_0	11	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			111010	Mode of Transportation will be taxi, rideshare services, van and wheelchair accessible vehicles.											2				2				2			2		1	0.00	0.00	2	2
H4624	022	0	1	01	01	H4624_022_0	10	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	2	48	3		1			111010	Mode of Transportation will be taxi, rideshare services, van and wheelchair accessible vehicles.											2				2				2			2		1	0.00	0.00	2	2
H4624	023	0	1	01	01	H4624_023_0	8	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	1				1			111010	Mode of Transportation will be taxi, rideshare services, van and wheelchair accessible vehicles.											2				2				2			2		1	0.00	0.00	2	2
H4624	024	0	1	01	01	H4624_024_0	10	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			111010	Mode of Transportation will be taxi, rideshare services, van and wheelchair accessible vehicles.											2				2				2			2		1	0.00	0.00	2	2
H4624	025	0	1	01	01	H4624_025_0	12	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	1				1			111010	Mode of Transportation will be taxi, rideshare services, van and wheelchair accessible vehicles.											2				2				2			2		1	0.00	0.00	2	2
H4624	026	0	1	01	01	H4624_026_0	10	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	2	24	3		1			111010	Mode of Transportation will be taxi, rideshare services, van and wheelchair accessible vehicles.											2				2				2			2		1	0.00	0.00	2	2
H4624	027	0	1	01	01	H4624_027_0	9	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			111010	Mode of Transportation will be taxi, rideshare services, van and wheelchair accessible vehicles.											2				2				2			2		1	0.00	0.00	2	2
H4624	028	0	1	01	01	H4624_028_0	9	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	2	36	3		1			111010	Mode of Transportation will be taxi, rideshare services, van and wheelchair accessible vehicles.											2				2				2			2		1	0.00	0.00	2	2
H4624	801	0	1	01	01	H4624_801_0	6	2								1	11	20	20	20	20	2	2				2							2	2																																							
H4624	802	0	1	01	01	H4624_802_0	6	2								1	11	20	20	20	20	2	2				2							2	2																																							
H4624	803	0	1	01	01	H4624_803_0	6	2								1	11	20	20	20	20	2	2				2							2	2																																							
H4624	804	0	1	01	01	H4624_804_0	6	2								1	11	20	20	20	20	2	2				2							2	2																																							
H4626	001	0	1	20	08	H4626_001_0	1																																																																			
H4626	002	0	1	20	08	H4626_002_0	1																																																																			
H4661	001	0	1	02	01	H4661_001_0	7	2								2							2				1	11	320.00	320.00	320.00	320.00	2	1	2																																							
H4661	002	0	1	02	01	H4661_002_0	7	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4661	003	0	1	02	01	H4661_003_0	7	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4676	001	0	1	01	01	H4676_001_0	6	2								1	10			20	20	2	2				1	01	255.00	255.00			2	1	1	1	2	2	24	3		1			111010	Unassisted ambulatory transportation. Scheduling process includes assessment of most appropriate form of transportation, including public and private resources.											2				2				2			2		2			1	2
H4676	002	0	1	01	01	H4676_002_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	32	3		1			111010	Unassisted ambulatory transportation.  Scheduling process includes assessment of most appropriate form of transportation, including public and private resources.											2				2				2			2		2			1	2
H4699	001	0	1	04	01	H4699_001_0	17	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H4699	003	0	1	04	01	H4699_003_0	17	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H4699	005	0	1	04	01	H4699_005_0	17	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H4704	001	0	1	04	01	H4704_001_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	12	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H4711	001	0	1	02	01	H4711_001_0	6	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H4711	002	0	1	02	01	H4711_002_0	6	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H4711	005	0	1	02	01	H4711_005_0	6	2								2							2				1	11	315.00	315.00	315.00	315.00	2	1	2																																							
H4711	006	0	1	02	01	H4711_006_0	7	2								2							2				1	11	285.00	285.00	285.00	285.00	2	1	2																																							
H4711	007	0	1	02	01	H4711_007_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H4711	008	0	1	02	01	H4711_008_0	7	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	2																																							
H4711	009	0	1	02	01	H4711_009_0	7	2								2							2				1	11	245.00	245.00	245.00	245.00	2	1	2																																							
H4711	010	0	1	02	01	H4711_010_0	4	2								2							2				1	11	245.00	245.00	245.00	245.00	2	1	2																																							
H4711	011	0	1	01	01	H4711_011_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	40	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H4711	012	0	1	01	01	H4711_012_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	50	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H4711	013	0	1	01	01	H4711_013_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	40	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H4711	801	0	1	01	01	H4711_801_0	8	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4711	802	0	1	01	01	H4711_802_0	8	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4714	001	0	1	20	08	H4714_001_0	1																																																																			
H4714	002	0	1	20	08	H4714_002_0	1																																																																			
H4733	001	0	1	01	01	H4733_001_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			010000												2				2				2			2		2			2	1
H4739	001	0	1	01	01	H4739_001_0	8	2								1	11	35	35	35	35	2	2				2							1	1	1	2	2	80	3		1			100000	May consist of a car, shuttle, or van service depending on appropriateness for the situation and the members needs.											2				2				2			2		2			2	2
H4754	004	0	1	04	01	H4754_004_0	6	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H4754	006	0	1	04	01	H4754_006_0	4	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H4754	008	0	1	04	01	H4754_008_0	4	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H4754	011	0	1	04	01	H4754_011_0	5	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	2																																							
H4754	012	0	1	04	01	H4754_012_0	4	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H4754	017	0	1	04	01	H4754_017_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H4754	801	0	1	04	01	H4754_801_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4754	802	0	1	04	01	H4754_802_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4801	002	0	1	04	01	H4801_002_0	7	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	2																																							
H4801	007	0	1	04	01	H4801_007_0	7	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H4801	011	0	1	04	01	H4801_011_0	7	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	2																																							
H4801	013	0	1	04	01	H4801_013_0	6	2								1	11	0	0	0	0	2	2				2							1	2																																							
H4801	014	0	1	04	01	H4801_014_0	6	2								1	11	0	0	0	0	2	2				2							1	2																																							
H4801	015	0	1	04	01	H4801_015_0	6	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	2																																							
H4801	016	0	1	04	01	H4801_016_0	6	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	2																																							
H4801	018	0	1	04	01	H4801_018_0	7	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	2																																							
H4801	019	0	1	04	01	H4801_019_0	5	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	2																																							
H4801	020	0	1	04	01	H4801_020_0	5	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H4801	021	0	1	04	01	H4801_021_0	6	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H4801	022	0	1	04	01	H4801_022_0	6	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H4808	001	0	1	04	01	H4808_001_0	11	2								2							2				1	11	275.00	275.00	295.00	295.00	2	1	2																																							
H4808	002	0	1	04	01	H4808_002_0	11	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	2																																							
H4808	003	0	1	04	01	H4808_003_0	11	2								1	10			20	20	2	2				1	01	350.00	350.00			2	1	2																																							
H4835	001	0	1	02	01	H4835_001_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H4835	002	0	1	02	01	H4835_002_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H4835	003	0	1	02	01	H4835_003_0	7	2								2							2				1	11	310.00	310.00	310.00	310.00	2	1	2																																							
H4835	004	0	1	02	01	H4835_004_0	7	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H4835	005	0	1	02	01	H4835_005_0	7	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H4835	006	0	1	02	01	H4835_006_0	7	2								2							2				1	11	335.00	335.00	335.00	335.00	2	1	2																																							
H4835	801	0	1	01	01	H4835_801_0	8	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4835	802	0	1	01	01	H4835_802_0	8	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4847	001	0	1	01	01	H4847_001_0	17	2								2							2				1	11	305.00	305.00	305.00	305.00	2	1	2																																							
H4847	004	0	1	01	01	H4847_004_0	17	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H4847	005	0	1	01	01	H4847_005_0	7	2								2							2				1	11	235.00	235.00	235.00	235.00	2	1	1	1	2	2	36	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H4847	006	0	1	02	01	H4847_006_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H4863	001	0	1	01	01	H4863_001_0	4	2								1	10			20	20	2	2				1	01	270.00	270.00			2	1	2																																							
H4863	003	0	1	01	01	H4863_003_0	4	2								1	10			20	20	2	2				1	01	270.00	270.00			2	1	2																																							
H4863	005	0	1	01	01	H4863_005_0	4	2								1	10			20	20	2	2				1	01	270.00	270.00			2	1	2																																							
H4868	003	0	1	01	01	H4868_003_0	14	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H4868	004	0	1	01	01	H4868_004_0	17	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H4868	014	0	1	01	01	H4868_014_0	17	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H4868	016	0	1	01	01	H4868_016_0	6	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	36	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H4868	019	0	1	01	01	H4868_019_0	17	2								2							2				1	11	240.00	240.00	240.00	240.00	2	1	2																																							
H4869	001	0	1	02	01	H4869_001_0	11	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	2											2	2	36	3		1			001011		2				2				2			2		2			1	2
H4869	002	0	1	02	01	H4869_002_0	9	2								1	11	20	20	20	20	2	2				2							1	1	2											2	2	54	3		1			001011		2				2				2			2		2			1	2
H4869	003	0	1	02	01	H4869_003_0	10	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	2											2	1				1			001011		2				2				2			2		2			1	2
H4869	004	0	1	02	01	H4869_004_0	10	2								1	11	20	20	20	20	2	2				2							1	1	2											2	1				1			001011		2				2				2			2		2			1	2
H4869	005	0	1	02	01	H4869_005_0	12	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	2											2	2	24	3		1			001011		2				2				2			2		2			1	2
H4869	009	0	1	02	01	H4869_009_0	11	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4869	010	0	1	02	01	H4869_010_0	9	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4875	016	1	1	04	01	H4875_016_1	6	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H4875	016	2	1	04	01	H4875_016_2	6	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H4875	016	3	1	04	01	H4875_016_3	6	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H4875	016	4	1	04	01	H4875_016_4	6	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H4875	016	5	1	04	01	H4875_016_5	6	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H4875	017	1	1	04	01	H4875_017_1	6	2								2							2				1	11	215.00	215.00	215.00	215.00	2	1	2																																							
H4875	017	2	1	04	01	H4875_017_2	6	2								2							2				1	11	215.00	215.00	215.00	215.00	2	1	2																																							
H4875	017	3	1	04	01	H4875_017_3	6	2								2							2				1	11	215.00	215.00	215.00	215.00	2	1	2																																							
H4875	017	4	1	04	01	H4875_017_4	6	2								2							2				1	11	215.00	215.00	215.00	215.00	2	1	2																																							
H4875	017	5	1	04	01	H4875_017_5	6	2								2							2				1	11	215.00	215.00	215.00	215.00	2	1	2																																							
H4875	018	1	1	04	01	H4875_018_1	6	2								2							2				1	11	240.00	240.00	240.00	240.00	2	1	2																																							
H4875	018	2	1	04	01	H4875_018_2	6	2								2							2				1	11	240.00	240.00	240.00	240.00	2	1	2																																							
H4875	018	3	1	04	01	H4875_018_3	6	2								2							2				1	11	240.00	240.00	240.00	240.00	2	1	2																																							
H4875	018	4	1	04	01	H4875_018_4	6	2								2							2				1	11	240.00	240.00	240.00	240.00	2	1	2																																							
H4875	018	5	1	04	01	H4875_018_5	6	2								2							2				1	11	240.00	240.00	240.00	240.00	2	1	2																																							
H4875	020	1	1	04	01	H4875_020_1	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H4875	020	2	1	04	01	H4875_020_2	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H4875	020	3	1	04	01	H4875_020_3	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H4875	021	1	1	04	01	H4875_021_1	6	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H4875	021	2	1	04	01	H4875_021_2	6	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H4875	022	1	1	04	01	H4875_022_1	6	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	2																																							
H4875	022	2	1	04	01	H4875_022_2	6	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	2																																							
H4875	022	5	1	04	01	H4875_022_5	6	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	2																																							
H4875	023	0	1	04	01	H4875_023_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H4875	803	0	1	04	01	H4875_803_0	6	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4875	804	0	1	04	01	H4875_804_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4875	805	0	1	04	01	H4875_805_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4875	806	0	1	04	01	H4875_806_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4875	807	0	1	04	01	H4875_807_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4882	003	0	1	04	01	H4882_003_0	8	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	2																																							
H4882	004	0	1	04	01	H4882_004_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H4882	005	0	1	04	01	H4882_005_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H4882	009	1	1	04	01	H4882_009_1	8	2								1	10			20	20	2	2				1	01	260.00	260.00			2	1	2																																							
H4882	009	2	1	04	01	H4882_009_2	9	2								2							2				1	11	260.00	260.00	300.00	300.00	2	1	2																																							
H4882	010	1	1	04	01	H4882_010_1	7	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H4882	010	2	1	04	01	H4882_010_2	7	2								2							2				1	11	250.00	250.00	300.00	300.00	2	1	2																																							
H4882	011	1	1	04	01	H4882_011_1	8	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H4882	011	2	1	04	01	H4882_011_2	8	2								2							2				1	11	250.00	250.00	300.00	300.00	2	1	2																																							
H4882	012	0	1	04	01	H4882_012_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H4882	801	0	1	04	01	H4882_801_0	1	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4882	803	0	1	04	01	H4882_803_0	1	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4882	804	0	1	04	01	H4882_804_0	1	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4882	805	0	1	04	01	H4882_805_0	1	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4882	806	0	1	04	01	H4882_806_0	1	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4909	014	0	1	04	01	H4909_014_0	6	2								1	10			20	20	2	2				1	01	350.00	350.00			2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H4909	015	0	1	04	01	H4909_015_0	6	2								1	10			20	20	2	2				1	01	295.00	295.00			2	1	2																																							
H4909	016	0	1	04	01	H4909_016_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H4909	018	0	1	04	01	H4909_018_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H4909	020	0	1	04	01	H4909_020_0	5	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	1	1	2	2	24	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H4909	021	0	1	04	01	H4909_021_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H4909	023	0	1	04	01	H4909_023_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H4909	026	0	1	04	01	H4909_026_0	7	2								2							2				1	11	305.00	305.00	305.00	305.00	2	1	2																																							
H4909	804	0	1	04	01	H4909_804_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4909	805	0	1	04	01	H4909_805_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4909	810	0	2	04	01	H4909_810_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4909	811	0	1	04	01	H4909_811_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4909	812	0	1	04	01	H4909_812_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4909	814	0	2	04	01	H4909_814_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4909	815	0	2	04	01	H4909_815_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4909	817	0	1	04	01	H4909_817_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4909	818	0	1	04	01	H4909_818_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4919	001	0	1	20	08	H4919_001_0	1																																																																			
H4919	002	0	1	20	08	H4919_002_0	1																																																																			
H4931	007	0	1	01	01	H4931_007_0	10	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			001011												2				2				2			2		2			2	2
H4931	015	0	1	01	01	H4931_015_0	9	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4937	001	0	1	04	01	H4937_001_0	6	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H4937	002	0	1	04	01	H4937_002_0	6	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	2																																							
H4937	801	0	1	04	01	H4937_801_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4937	802	0	1	04	01	H4937_802_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4937	803	0	1	04	01	H4937_803_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4937	804	0	1	04	01	H4937_804_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4937	805	0	1	04	01	H4937_805_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4943	001	0	1	01	01	H4943_001_0	16	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H4943	002	0	1	01	01	H4943_002_0	13	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	2																																							
H4961	001	0	1	04	01	H4961_001_0	13	2								2							2				1	11	250.00	250.00	250.00	250.00	1	1	2																																							
H4961	003	0	1	04	01	H4961_003_0	13	2								2							2				1	11	250.00	250.00	250.00	250.00	1	1	2																																							
H4961	006	0	1	04	01	H4961_006_0	12	2								2							2				1	11	100.00	100.00	100.00	100.00	1	1	1	1	2	2	26	3		1			000010												2				2				2			2		2			1	2
H4961	007	0	1	04	01	H4961_007_0	12	2								2							2				1	11	250.00	250.00	250.00	250.00	1	1	2																																							
H4961	008	0	1	04	01	H4961_008_0	11	2								2							2				1	11	250.00	250.00	250.00	250.00	1	1	2																																							
H4961	801	0	1	04	01	H4961_801_0	2	2								2							2				1	11	250.00	250.00	250.00	250.00	1	1	2																																							
H4961	802	0	1	04	01	H4961_802_0	3	2								2							2				1	11	250.00	250.00	250.00	250.00	1	1	2																																							
H4961	803	0	1	04	01	H4961_803_0	2	2								2							2				1	11	250.00	250.00	250.00	250.00	1	1	2																																							
H4961	804	0	1	04	01	H4961_804_0	2	2								2							2				1	11	250.00	250.00	250.00	250.00	1	1	2																																							
H4982	001	0	1	01	01	H4982_001_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H4982	002	0	1	01	01	H4982_002_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H4982	003	0	1	01	01	H4982_003_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H4982	004	0	1	01	01	H4982_004_0	7	2								2							2				1	11	245.00	245.00	245.00	245.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H4982	005	0	1	01	01	H4982_005_0	7	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H4982	006	0	1	01	01	H4982_006_0	7	2								2							2				1	11	175.00	175.00	175.00	175.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H4982	007	0	1	01	01	H4982_007_0	7	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H4982	008	0	1	01	01	H4982_008_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	40	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H4982	009	0	1	01	01	H4982_009_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	40	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H4982	010	0	1	01	01	H4982_010_0	7	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H4982	011	0	1	01	01	H4982_011_0	7	2								2							2				1	11	125.00	125.00	125.00	125.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H4982	012	0	1	01	01	H4982_012_0	7	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H4982	013	0	1	01	01	H4982_013_0	4	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H4982	016	0	1	01	01	H4982_016_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	40	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H4982	017	0	1	02	01	H4982_017_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H4982	018	0	1	02	01	H4982_018_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H4982	801	0	1	01	01	H4982_801_0	8	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4982	802	0	1	01	01	H4982_802_0	8	2								1	11	20	20	20	20	2	2				2							1	2																																							
H4999	001	0	1	20	08	H4999_001_0	1																																																																			
H4999	002	0	1	20	08	H4999_002_0	1																																																																			
H5007	001	0	1	20	08	H5007_001_0	1																																																																			
H5007	002	0	1	20	08	H5007_002_0	1																																																																			
H5008	002	0	1	02	01	H5008_002_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H5008	010	0	1	02	01	H5008_010_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	72	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H5008	011	0	1	02	01	H5008_011_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H5008	015	0	1	02	01	H5008_015_0	4	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H5008	016	0	1	02	01	H5008_016_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H5009	001	0	1	04	01	H5009_001_0	6	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5009	002	0	1	04	01	H5009_002_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5009	008	0	1	04	01	H5009_008_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H5009	010	0	1	04	01	H5009_010_0	7	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H5009	011	1	1	04	01	H5009_011_1	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5009	011	2	1	04	01	H5009_011_2	7	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H5009	011	3	1	04	01	H5009_011_3	7	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H5009	801	0	1	04	01	H5009_801_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5009	802	0	1	04	01	H5009_802_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5009	803	0	1	04	01	H5009_803_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5009	804	0	1	04	01	H5009_804_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5010	001	0	1	04	01	H5010_001_0	6	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5010	008	1	1	04	01	H5010_008_1	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5010	008	2	1	04	01	H5010_008_2	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H5010	009	1	1	04	01	H5010_009_1	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5010	009	2	1	04	01	H5010_009_2	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H5015	001	0	1	01	01	H5015_001_0	6	2								1	11	20	20	20	20	2	2				2							2	1	2											2	2	10	3		1			011011		2				2				2			2		2			2	2
H5037	001	0	1	20	08	H5037_001_0	1																																																																			
H5037	002	0	1	20	08	H5037_002_0	1																																																																			
H5042	009	0	1	04	01	H5042_009_0	5	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	1	1	2	1				2			000001												2				2				2			2		2			1	2
H5042	011	0	1	04	01	H5042_011_0	7	2								2							2				1	11	255.00	255.00	255.00	255.00	2	1	1	1	2	1				2			000001												2				2				2			2		2			1	2
H5042	012	0	1	04	01	H5042_012_0	4	2								2							2				1	11	255.00	255.00	255.00	255.00	2	1	1	1	2	1				2			000001												2				2				2			2		2			1	2
H5042	801	0	1	04	01	H5042_801_0	1	2								1	11	20	20	20	20	2	2				2							2	2																																							
H5042	802	0	1	04	01	H5042_802_0	1	2								1	11	20	20	20	20	2	2				2							2	2																																							
H5042	803	0	1	04	01	H5042_803_0	1	2								1	11	20	20	20	20	2	2				2							2	2																																							
H5042	804	0	1	04	01	H5042_804_0	1	2								1	11	20	20	20	20	2	2				2							2	2																																							
H5050	001	0	1	01	01	H5050_001_0	7	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	12	3		2			100000	Means of transportation is determined by members physical needs. Vehicles include wheelchair vans, taxis, and other ground transportation as appropriate for the members physical needs.											2				2				2			2		1	0.00	0.00	2	2
H5050	004	0	1	01	01	H5050_004_0	12	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	2	2	12	3		2			100000	Means of transportation is determined by members physical needs. Vehicles include wheelchair vans, taxis, and other ground transportation as appropriate for the members physical needs.											2				2				2			2		1	0.00	0.00	2	2
H5050	009	0	1	01	01	H5050_009_0	10	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	8	3		2			100000	Means of transportation is determined by members physical needs. Vehicles include wheelchair vans, taxis, and other ground transportation as appropriate for the members physical needs.											2				2				2			2		1	0.00	0.00	2	2
H5050	013	0	1	01	01	H5050_013_0	10	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	8	3		2			100000	Means of transportation is determined by members physical needs. Vehicles include wheelchair vans, taxis, and other ground transportation as appropriate for the members physical needs.											2				2				2			2		1	0.00	0.00	2	2
H5050	017	0	1	01	01	H5050_017_0	10	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	6	3		2			100000	Means of transportation is determined by members physical needs. Vehicles include wheelchair vans, taxis, and other ground transportation as appropriate for the members physical needs.											2				2				2			2		1	0.00	0.00	2	2
H5050	019	0	1	01	01	H5050_019_0	10	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	2	2	10	3		2			100000	Means of transportation is determined by members physical needs. Vehicles include wheelchair vans, taxis, and other ground transportation as appropriate for the members physical needs.											2				2				2			2		1	0.00	0.00	2	2
H5050	021	0	1	01	01	H5050_021_0	10	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	2	2	8	3		2			100000	Means of transportation is determined by members physical needs. Vehicles include wheelchair vans, taxis, and other ground transportation as appropriate for the members physical needs.											2				2				2			2		1	0.00	0.00	2	2
H5050	022	0	1	01	01	H5050_022_0	10	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	6	3		2			100000	Means of transportation is determined by members physical needs. Vehicles include wheelchair vans, taxis, and other ground transportation as appropriate for the members physical needs.											2				2				2			2		1	0.00	0.00	2	2
H5050	023	0	1	01	01	H5050_023_0	10	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	1	1	2	2	6	3		2			100000	Means of transportation is determined by members physical needs. Vehicles include wheelchair vans, taxis, and other ground transportation as appropriate for the members physical needs.											2				2				2			2		1	0.00	0.00	2	2
H5050	801	0	1	01	01	H5050_801_0	7	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5050	802	0	1	01	01	H5050_802_0	7	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5080	001	0	1	20	08	H5080_001_0	1																																																																			
H5080	002	0	1	20	08	H5080_002_0	1																																																																			
H5085	003	0	1	20	08	H5085_003_0	1																																																																			
H5085	004	0	1	20	08	H5085_004_0	1																																																																			
H5087	005	0	1	01	01	H5087_005_0	16	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H5087	016	0	1	01	01	H5087_016_0	16	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H5087	024	0	1	01	01	H5087_024_0	16	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5087	032	0	1	01	01	H5087_032_0	17	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5087	033	0	1	01	01	H5087_033_0	18	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5106	013	0	1	04	01	H5106_013_0	8	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	24	3		1			100011	Other modes of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H5106	029	1	1	04	01	H5106_029_1	9	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	1				1			100011	Mode of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H5106	029	2	1	04	01	H5106_029_2	9	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	1				1			100011	Mode of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H5106	030	1	1	04	01	H5106_030_1	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	1				1			100011	Mode of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H5106	030	2	1	04	01	H5106_030_2	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	1				1			100011	Mode of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H5106	031	1	1	04	01	H5106_031_1	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	1				1			100011	Mode of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H5106	031	2	1	04	01	H5106_031_2	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	1				1			100011	Mode of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H5106	032	1	1	04	01	H5106_032_1	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	1				1			100011	Mode of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H5106	032	2	1	04	01	H5106_032_2	8	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	1				1			100011	Mode of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H5106	033	1	1	04	01	H5106_033_1	5	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	24	3		1			100011	Mode of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H5106	033	2	1	04	01	H5106_033_2	5	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	24	3		1			100011	Mode of transportation includes: sedan, stretcher van, and wheelchair van.											2				2				2			2		2			1	2
H5106	806	0	1	04	01	H5106_806_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5106	807	0	1	04	01	H5106_807_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5106	808	0	1	04	01	H5106_808_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5106	810	0	1	04	01	H5106_810_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5117	801	0	1	01	01	H5117_801_0	12	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5124	001	0	1	20	08	H5124_001_0	1																																																																			
H5124	002	0	1	20	08	H5124_002_0	1																																																																			
H5140	001	0	1	04	01	H5140_001_0	12	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	2																																							
H5140	002	0	1	04	01	H5140_002_0	9	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	2																																							
H5141	001	0	1	04	01	H5141_001_0	11	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H5141	004	0	1	04	01	H5141_004_0	9	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H5141	007	0	1	04	01	H5141_007_0	10	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H5141	025	0	1	04	01	H5141_025_0	9	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H5141	026	0	1	04	01	H5141_026_0	9	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H5141	032	0	1	04	01	H5141_032_0	10	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H5141	036	0	1	04	01	H5141_036_0	9	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H5141	038	0	1	04	01	H5141_038_0	10	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H5141	042	0	1	04	01	H5141_042_0	8	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H5141	045	0	1	04	01	H5141_045_0	9	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H5141	054	0	1	04	01	H5141_054_0	9	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H5141	055	0	1	04	01	H5141_055_0	9	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H5141	056	0	1	04	01	H5141_056_0	8	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H5141	057	0	1	04	01	H5141_057_0	8	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H5141	058	0	1	04	01	H5141_058_0	9	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H5141	059	0	1	04	01	H5141_059_0	9	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H5141	801	0	1	04	01	H5141_801_0	5	2								1	11	20	20	20	20	2	2				2							2	2																																							
H5163	001	0	1	01	01	H5163_001_0	9	2								1	10			20	20	2	2				1	01	119.00	119.00			2	1	1	1	2	1				1			000011												2				2				2			2		2			2	2
H5163	002	0	1	01	01	H5163_002_0	8	2								1	10			20	20	2	2				1	01	99.00	99.00			2	1	1	1	2	1				1			000011												2				2				2			2		2			2	2
H5167	001	0	1	20	08	H5167_001_0	1																																																																			
H5167	002	0	1	20	08	H5167_002_0	1																																																																			
H5178	002	0	1	01	01	H5178_002_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	48	3		1			100010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5190	801	0	1	01	01	H5190_801_0	12	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5199	008	0	1	04	01	H5199_008_0	17	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5199	010	0	1	04	01	H5199_010_0	17	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5199	012	0	1	04	01	H5199_012_0	17	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H5199	014	0	1	04	01	H5199_014_0	17	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5199	016	0	1	04	01	H5199_016_0	17	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H5209	002	0	1	01	01	H5209_002_0	7	2								1	11	20	20	20	20	2	2				2							2	2																																							
H5209	004	0	1	01	01	H5209_004_0	9	2								1	11	20	20	20	20	2	2				2							2	2																																							
H5211	001	0	1	02	01	H5211_001_0	3	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	2																																							
H5211	002	0	1	02	01	H5211_002_0	5	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	2																																							
H5211	003	0	1	02	01	H5211_003_0	3	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	2																																							
H5211	004	0	1	02	01	H5211_004_0	4	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	2																																							
H5211	010	0	1	01	01	H5211_010_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5211	012	0	1	02	01	H5211_012_0	4	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	2																																							
H5211	013	0	1	02	01	H5211_013_0	4	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	2																																							
H5212	001	0	1	20	08	H5212_001_0	1																																																																			
H5212	002	0	1	20	08	H5212_002_0	1																																																																			
H5213	001	0	1	20	08	H5213_001_0	1																																																																			
H5213	002	0	1	20	08	H5213_002_0	1																																																																			
H5215	001	0	1	04	01	H5215_001_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5215	002	0	1	04	01	H5215_002_0	5	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5215	005	0	1	04	01	H5215_005_0	5	2								2							2				2							1	2																																							
H5215	006	0	1	04	01	H5215_006_0	7	2								2							2				2							1	2																																							
H5215	007	0	1	04	01	H5215_007_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			100000	Our plan has contracted with Aryv to provide members with transportation to or from doctor appointments and other medical service needs.											2				2				2			2		2			1	2
H5215	008	0	1	04	01	H5215_008_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	2											2	1				2			100000	Our plan has contracted with Aryv to provide members with transportation to or from doctor appointments and other medical service needs.	2				2				2			2		2			1	2
H5215	009	0	1	04	01	H5215_009_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	2											2	1				2			100000	Our plan has contracted with Aryv to provide members with transportation to or from doctor appointments and other medical service needs.	2				2				2			2		2			1	2
H5215	010	0	1	04	01	H5215_010_0	6	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5215	011	0	1	04	01	H5215_011_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H5215	012	0	1	04	01	H5215_012_0	8	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	2											2	1				2			100000	Our plan has contracted with Aryv to provide members with transportation to or from doctor appointments and other medical service needs.	2				2				2			2		2			1	2
H5215	013	0	1	04	01	H5215_013_0	4	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5215	014	0	1	04	01	H5215_014_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5215	806	0	1	04	01	H5215_806_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5215	807	0	1	04	01	H5215_807_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5215	808	0	1	04	01	H5215_808_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5216	001	0	1	04	01	H5216_001_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5216	006	0	1	04	01	H5216_006_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5216	011	0	1	04	01	H5216_011_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	013	0	1	04	01	H5216_013_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5216	014	0	1	04	01	H5216_014_0	8	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5216	017	0	1	04	01	H5216_017_0	10	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	019	0	1	04	01	H5216_019_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	023	0	1	04	01	H5216_023_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	024	0	1	04	01	H5216_024_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	027	0	1	04	01	H5216_027_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	032	0	1	04	01	H5216_032_0	9	2								1	10			20	20	2	2				1	01	265.00	265.00			2	1	2																																							
H5216	034	0	1	04	01	H5216_034_0	7	2								1	10			20	20	2	2				1	01	265.00	265.00			2	1	2																																							
H5216	037	0	1	04	01	H5216_037_0	5	2								1	10			20	20	2	2				1	01	190.00	190.00			2	1	2																																							
H5216	039	0	1	04	01	H5216_039_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5216	042	0	1	04	01	H5216_042_0	6	2								1	10			20	20	2	2				1	01	265.00	265.00			2	1	2																																							
H5216	043	1	1	04	01	H5216_043_1	5	2								1	10			20	20	2	2				1	01	290.00	290.00			2	1	2																																							
H5216	043	5	1	04	01	H5216_043_5	5	2								1	10			20	20	2	2				1	01	265.00	265.00			2	1	2																																							
H5216	043	6	1	04	01	H5216_043_6	5	2								1	10			20	20	2	2				1	01	290.00	290.00			2	1	2																																							
H5216	044	0	1	04	01	H5216_044_0	5	2								2							2				1	11	300.00	300.00	1250.00	1250.00	2	1	2																																							
H5216	047	0	1	04	01	H5216_047_0	5	2								2							2				1	11	290.00	290.00	1250.00	1250.00	2	1	2																																							
H5216	048	0	1	04	01	H5216_048_0	9	2								2							2				1	11	300.00	300.00	1250.00	1250.00	2	1	2																																							
H5216	053	0	1	04	01	H5216_053_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	057	0	1	04	01	H5216_057_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	058	0	1	04	01	H5216_058_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	059	0	1	04	01	H5216_059_0	3	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	1				1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	062	0	1	04	01	H5216_062_0	5	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	2																																							
H5216	063	0	1	04	01	H5216_063_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5216	064	0	1	04	01	H5216_064_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5216	068	0	1	04	01	H5216_068_0	6	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	2																																							
H5216	070	0	1	04	01	H5216_070_0	5	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	2																																							
H5216	072	0	1	04	01	H5216_072_0	6	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	2																																							
H5216	073	0	1	04	01	H5216_073_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	074	0	1	04	01	H5216_074_0	6	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	2																																							
H5216	077	0	1	04	01	H5216_077_0	5	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	1	1	2	2	24	3		1			100010	arranged by plan's transportation provider to approved locations by car, van, or wheelchair access vehicle that provide members access to health benefits. Not to exceed 50 miles per trip.											2				2				2			2		1	0.00	0.00	1	2
H5216	078	1	1	04	01	H5216_078_1	6	2								1	10			20	20	2	2				1	01	265.00	265.00			2	1	2																																							
H5216	078	2	1	04	01	H5216_078_2	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			100010	Services arranged by plan's transportation provider to approved locations by means of car, van, or wheelchair access vehicle that provide members access to health benefits.											2				2				2			2		1	0.00	0.00	1	2
H5216	081	0	1	04	01	H5216_081_0	7	2								1	10			20	20	2	2				1	01	265.00	265.00			2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	083	0	1	04	01	H5216_083_0	9	2								1	10			20	20	2	2				1	01	265.00	265.00			2	1	2																																							
H5216	088	0	1	04	01	H5216_088_0	7	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5216	089	0	1	04	01	H5216_089_0	6	2								2							2				1	11	300.00	300.00	1250.00	1250.00	2	1	2																																							
H5216	092	0	1	04	01	H5216_092_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5216	097	0	1	04	01	H5216_097_0	9	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5216	099	0	1	04	01	H5216_099_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5216	100	0	1	04	01	H5216_100_0	7	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5216	105	0	1	04	01	H5216_105_0	4	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	106	0	1	04	01	H5216_106_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	107	0	1	04	01	H5216_107_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	112	0	1	04	01	H5216_112_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	114	0	1	04	01	H5216_114_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	116	0	1	04	01	H5216_116_0	4	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	1	1	2	2	24	3		1			100010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	117	0	1	04	01	H5216_117_0	6	2								1	11	18	18	18	18	2	2				2							1	1	1	2	2	24	3		1			101010	Srvcs arranged by the plan's transportation prvder to approved locations by car, van, or wheelchair access vehicle that provide mmbrs access to health benefits. This benft is not to exceed 50 mi p/t.											2				2				2			2		1	0.00	0.00	1	2
H5216	120	0	1	04	01	H5216_120_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H5216	124	0	1	04	01	H5216_124_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	128	0	1	04	01	H5216_128_0	4	2								1	10			20	20	2	2				1	01	265.00	265.00			2	1	1	1	2	2	24	3		1			101010	car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	131	0	1	04	01	H5216_131_0	5	2								2							2				1	11	300.00	300.00	1250.00	1250.00	2	1	2																																							
H5216	132	0	1	04	01	H5216_132_0	5	2								2							2				1	11	300.00	300.00	1250.00	1250.00	2	1	2																																							
H5216	133	0	1	04	01	H5216_133_0	9	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	136	0	1	04	01	H5216_136_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5216	137	0	1	04	01	H5216_137_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5216	138	0	1	04	01	H5216_138_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	140	0	1	04	01	H5216_140_0	11	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	1	1	2	2	24	3		1			100010	$0 copayment for plan approved location up to 24 one-way trip(s) per year by car, van, wheelchair access vehicle. This benefit is not to exceed 75 miles per trip.											2				2				2			2		1	0.00	0.00	1	2
H5216	141	0	1	04	01	H5216_141_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5216	142	1	1	04	01	H5216_142_1	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	142	2	1	04	01	H5216_142_2	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	144	0	1	04	01	H5216_144_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	152	0	1	04	01	H5216_152_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	154	0	1	04	01	H5216_154_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	157	0	1	04	01	H5216_157_0	4	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	160	0	1	04	01	H5216_160_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	2	76	3		1			101010	car, van, or wheelchair access vehicle that provide members access to health benefits											2				2				2			2		1	0.00	0.00	1	2
H5216	161	0	1	04	01	H5216_161_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	2	36	3		1			100010	plan's transportation provider to approved locations by means of car, van, or wheelchair access vehicle that provide members access to health benefits. This benefit is not to exceed 75 miles per trip.											2				2				2			2		1	0.00	0.00	1	2
H5216	164	0	1	04	01	H5216_164_0	8	2								2							2				1	11	300.00	300.00	300.00	300.00	1	1	1	1	2	2	72	3		1			100010	Services arranged by the plan's transportation provider to approved locations by means of car, van, or wheelchair access vehicle that provide members access to health benefits.											2				2				2			2		1	0.00	0.00	1	2
H5216	168	0	1	04	01	H5216_168_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5216	169	0	1	04	01	H5216_169_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	170	0	1	04	01	H5216_170_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	171	0	1	04	01	H5216_171_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	172	0	1	04	01	H5216_172_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	173	0	1	04	01	H5216_173_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	174	0	1	04	01	H5216_174_0	4	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	175	0	1	04	01	H5216_175_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	176	0	1	04	01	H5216_176_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	177	0	1	04	01	H5216_177_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	179	0	1	04	01	H5216_179_0	5	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	2																																							
H5216	180	0	1	04	01	H5216_180_0	6	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	2																																							
H5216	182	0	1	04	01	H5216_182_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	185	0	1	04	01	H5216_185_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	186	0	1	04	01	H5216_186_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	188	0	1	04	01	H5216_188_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	190	0	1	04	01	H5216_190_0	4	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	192	0	1	04	01	H5216_192_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	193	0	1	04	01	H5216_193_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	194	0	1	04	01	H5216_194_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5216	195	0	1	04	01	H5216_195_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	30	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	196	1	1	04	01	H5216_196_1	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	196	2	1	04	01	H5216_196_2	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	197	0	1	04	01	H5216_197_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	198	0	1	04	01	H5216_198_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	200	0	1	04	01	H5216_200_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	1				1			101010	wheelchair access vehicle.											2				2				2			2		1	0.00	0.00	1	2
H5216	201	0	1	04	01	H5216_201_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	2	24	3		1			100010	Services arranged by the plan's transportation provider to approved locations by vehicle that provide members access to health benefits. This benefit is not to exceed 100 miles per trip.											2				2				2			2		1	0.00	0.00	1	2
H5216	203	1	1	04	01	H5216_203_1	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	203	2	1	04	01	H5216_203_2	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	205	0	1	04	01	H5216_205_0	11	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	36	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	206	0	1	04	01	H5216_206_0	8	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	36	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	207	0	1	04	01	H5216_207_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	211	0	1	04	01	H5216_211_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	213	0	1	04	01	H5216_213_0	4	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	215	0	1	04	01	H5216_215_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5216	216	0	1	04	01	H5216_216_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	217	0	1	04	01	H5216_217_0	4	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	1	1	2	2	12	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	218	0	1	04	01	H5216_218_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	219	0	1	04	01	H5216_219_0	7	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	2	48	3		1			100010	$0 copayment for plan approved location up to 48 one-way trip(s) per year by car, van, wheelchair access vehicle. This benefit is not to exceed 75 miles per trip.											2				2				2			2		1	0.00	0.00	1	2
H5216	220	0	1	04	01	H5216_220_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	60	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	221	0	1	04	01	H5216_221_0	4	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	223	0	1	04	01	H5216_223_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			100010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	224	0	1	04	01	H5216_224_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	225	0	1	04	01	H5216_225_0	4	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	226	0	1	04	01	H5216_226_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	227	0	1	04	01	H5216_227_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	76	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	228	0	1	04	01	H5216_228_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	2	24	3		1			101010	car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	229	0	1	04	01	H5216_229_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	231	0	1	04	01	H5216_231_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H5216	232	1	1	04	01	H5216_232_1	4	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H5216	232	2	1	04	01	H5216_232_2	5	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H5216	233	1	1	04	01	H5216_233_1	4	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H5216	233	2	1	04	01	H5216_233_2	5	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H5216	234	0	1	04	01	H5216_234_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5216	235	0	1	04	01	H5216_235_0	4	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5216	236	0	1	04	01	H5216_236_0	10	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5216	242	0	1	04	01	H5216_242_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	243	0	1	04	01	H5216_243_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	244	0	1	04	01	H5216_244_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	36	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	246	0	1	04	01	H5216_246_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	36	3		1			101010	Car, Wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	247	0	1	04	01	H5216_247_0	6	2								2							2				1	11	300.00	300.00	1250.00	1250.00	2	1	2																																							
H5216	249	0	1	04	01	H5216_249_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	250	0	1	04	01	H5216_250_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	251	0	1	04	01	H5216_251_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5216	252	0	1	04	01	H5216_252_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5216	253	0	1	04	01	H5216_253_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5216	254	0	1	04	01	H5216_254_0	10	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	255	0	1	04	01	H5216_255_0	5	2								2							2				1	11	300.00	300.00	1250.00	1250.00	2	1	2																																							
H5216	256	0	1	04	01	H5216_256_0	5	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	2																																							
H5216	257	0	1	04	01	H5216_257_0	7	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	1	1	2	1				1			100010	Services arranged by the plan's transportation provider to approved locations by means of car, van, or wheelchair access vehicle that provide members access to health benefits.											2				2				2			2		1	0.00	0.00	1	2
H5216	258	0	1	04	01	H5216_258_0	4	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5216	260	0	1	04	01	H5216_260_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	36	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	261	0	1	04	01	H5216_261_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H5216	263	0	1	04	01	H5216_263_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	12	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	264	0	1	04	01	H5216_264_0	7	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5216	265	0	1	04	01	H5216_265_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	266	0	1	04	01	H5216_266_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	267	0	1	04	01	H5216_267_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	36	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	268	0	1	04	01	H5216_268_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	269	0	1	04	01	H5216_269_0	12	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5216	271	0	1	04	01	H5216_271_0	8	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5216	273	0	1	04	01	H5216_273_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5216	274	0	1	04	01	H5216_274_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5216	275	0	1	04	01	H5216_275_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5216	277	0	1	04	01	H5216_277_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	1	1	1	1	2	2	36	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	278	1	1	04	01	H5216_278_1	4	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5216	278	3	1	04	01	H5216_278_3	4	2								2							2				1	11	290.00	290.00	1250.00	1250.00	2	1	2																																							
H5216	279	0	1	04	01	H5216_279_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	280	1	1	04	01	H5216_280_1	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	36	3		1			101010	Svcs arranged by transportation provider to approved locations by means of car, van, or wheelchair access vehicle that provide members access to health benefits. Benefit not to exceed 75 mi per trip.											2				2				2			2		1	0.00	0.00	1	2
H5216	280	2	1	04	01	H5216_280_2	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	36	3		1			101010	Svcs arranged by transportation provider to approved locations by means of car, van, or wheelchair access vehicle that provide members access to health benefits. Benefit not to exceed 75 mi per trip.											2				2				2			2		1	0.00	0.00	1	2
H5216	281	0	1	04	01	H5216_281_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	283	0	1	04	01	H5216_283_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5216	284	0	1	04	01	H5216_284_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	36	3		1			101010	car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	285	0	1	04	01	H5216_285_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	286	0	1	04	01	H5216_286_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	287	0	1	04	01	H5216_287_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H5216	288	0	1	04	01	H5216_288_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	48	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	289	0	1	04	01	H5216_289_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	36	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	290	0	1	04	01	H5216_290_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	1				1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	291	0	1	04	01	H5216_291_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	1				1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	292	0	1	04	01	H5216_292_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	1				1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	293	0	1	04	01	H5216_293_0	9	2								2							2				1	11	300.00	300.00	1250.00	1250.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	294	0	1	04	01	H5216_294_0	4	2								2							2				1	11	300.00	300.00	1250.00	1250.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	296	0	1	04	01	H5216_296_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	2	60	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	298	0	1	04	01	H5216_298_0	5	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	2	100	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	300	0	1	04	01	H5216_300_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5216	301	1	1	04	01	H5216_301_1	3	2								2							2				1	11	300.00	300.00	1250.00	1250.00	2	1	2																																							
H5216	301	2	1	04	01	H5216_301_2	7	2								2							2				1	11	290.00	290.00	1250.00	1250.00	2	1	2																																							
H5216	301	3	1	04	01	H5216_301_3	3	2								2							2				1	11	290.00	290.00	1250.00	1250.00	2	1	2																																							
H5216	301	4	1	04	01	H5216_301_4	4	2								2							2				1	11	300.00	300.00	1250.00	1250.00	2	1	2																																							
H5216	302	0	1	04	01	H5216_302_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	48	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	304	0	1	04	01	H5216_304_0	6	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	2																																							
H5216	305	0	1	04	01	H5216_305_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	306	0	1	04	01	H5216_306_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	307	0	1	04	01	H5216_307_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	308	0	1	04	01	H5216_308_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	309	0	1	04	01	H5216_309_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	310	0	1	04	01	H5216_310_0	4	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	311	0	1	04	01	H5216_311_0	6	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	2																																							
H5216	312	0	1	04	01	H5216_312_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	313	0	1	04	01	H5216_313_0	5	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	314	0	1	04	01	H5216_314_0	10	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H5216	315	0	1	04	01	H5216_315_0	4	2								2							2				1	11	300.00	300.00	1250.00	1250.00	2	1	2																																							
H5216	316	1	1	04	01	H5216_316_1	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	316	3	1	04	01	H5216_316_3	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	317	0	1	04	01	H5216_317_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	318	1	1	04	01	H5216_318_1	10	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	318	2	1	04	01	H5216_318_2	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	318	3	1	04	01	H5216_318_3	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	319	0	1	04	01	H5216_319_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	320	0	1	04	01	H5216_320_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	322	0	1	04	01	H5216_322_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	324	0	1	04	01	H5216_324_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	325	0	1	04	01	H5216_325_0	8	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5216	326	0	1	04	01	H5216_326_0	9	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5216	327	0	1	04	01	H5216_327_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	328	0	1	04	01	H5216_328_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	329	0	1	04	01	H5216_329_0	10	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	1	1	2	2	24	3		1			101010	car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	330	0	1	04	01	H5216_330_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	1				1			100010	plan's transportation provider to approved locations by means of wheelchair access vehicle that provide members access to health benefits. This benefit is not to exceed 100 miles per trip.											2				2				2			2		1	0.00	0.00	1	2
H5216	331	0	1	04	01	H5216_331_0	7	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	2	48	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	332	0	1	04	01	H5216_332_0	7	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	1				1			100010	Services arranged by the plan's transportation provider to approved locations by wheelchair access vehicle that provide members access to health benefits.											2				2				2			2		1	0.00	0.00	1	2
H5216	333	0	1	04	01	H5216_333_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H5216	334	0	1	04	01	H5216_334_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	2	60	3		1			101010	"Car, wheelchair access vehicle											2				2				2			2		2			1	2
H5216	335	0	1	04	01	H5216_335_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H5216	337	1	1	04	01	H5216_337_1	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H5216	337	2	1	04	01	H5216_337_2	8	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	337	3	1	04	01	H5216_337_3	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	338	0	1	04	01	H5216_338_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	339	0	1	04	01	H5216_339_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			100010	Services arranged by plan's transportation provider to approved locations by means of car, van, or wheelchair access vehicle that provide members access to health benefits.											2				2				2			2		1	0.00	0.00	1	2
H5216	340	0	1	04	01	H5216_340_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	341	0	1	04	01	H5216_341_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	36	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	343	0	1	04	01	H5216_343_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	345	0	1	04	01	H5216_345_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	346	0	1	04	01	H5216_346_0	5	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H5216	347	0	1	04	01	H5216_347_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	348	0	1	04	01	H5216_348_0	4	2								1	10			20	20	2	2				1	01	265.00	265.00			2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	349	0	1	04	01	H5216_349_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	350	0	1	04	01	H5216_350_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5216	351	0	1	04	01	H5216_351_0	8	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5216	352	0	1	04	01	H5216_352_0	6	2								1	10			20	20	2	2				1	01	290.00	290.00			2	1	2																																							
H5216	353	0	1	04	01	H5216_353_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	2	24	3		1			101010	car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	354	0	1	04	01	H5216_354_0	3	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5216	355	0	1	04	01	H5216_355_0	3	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5216	356	0	1	04	01	H5216_356_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5216	357	0	1	04	01	H5216_357_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5216	358	0	1	04	01	H5216_358_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5216	359	0	1	04	01	H5216_359_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5216	360	0	1	04	01	H5216_360_0	8	2								1	10			20	20	2	2				1	01	290.00	290.00			2	1	2																																							
H5216	361	0	1	04	01	H5216_361_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	36	3		1			100010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	362	0	1	04	01	H5216_362_0	8	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			100010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	363	0	1	04	01	H5216_363_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	36	3		1			100010	Serv arranged by the plan's transp prvder to apprvd loca by means of car, van, or wheelchair access vehicle that provide membrs access to health benefits. This benefit is not to exceed 75 mi per trip.											2				2				2			2		1	0.00	0.00	1	2
H5216	364	0	1	04	01	H5216_364_0	5	2								2							2				1	11	300.00	300.00	1250.00	1250.00	2	1	2																																							
H5216	365	0	1	04	01	H5216_365_0	5	2								2							2				1	11	300.00	300.00	1250.00	1250.00	2	1	2																																							
H5216	366	0	1	04	01	H5216_366_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	367	0	1	04	01	H5216_367_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	1				1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	368	0	1	04	01	H5216_368_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5216	369	0	1	04	01	H5216_369_0	10	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	370	0	1	04	01	H5216_370_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	2	60	6	per year60 trip(s) per year one-way car60 trip(s) per year one-way van60 trip(s) per year one-way wheelchair access vehicle	5	60 trip (s) per year one way car.60 trips(s) per year one way van60 trip (s) per year one way wheelchair access vehicle		101010	Services arranged by the plan's transportation provider to approved locations by means of car, van, or wheelchair access vehicle that provide members access to health benefits. This benefit is not to											2				2				2			2		1	0.00	0.00	1	2
H5216	371	0	1	04	01	H5216_371_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	372	0	1	04	01	H5216_372_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	373	0	1	04	01	H5216_373_0	8	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	375	0	1	04	01	H5216_375_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	48	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	376	0	1	04	01	H5216_376_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	377	0	1	04	01	H5216_377_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	60	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	378	0	1	04	01	H5216_378_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	379	0	1	04	01	H5216_379_0	4	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	380	0	1	04	01	H5216_380_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	381	0	1	04	01	H5216_381_0	4	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	382	0	1	04	01	H5216_382_0	6	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	383	0	1	04	01	H5216_383_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	384	0	1	04	01	H5216_384_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	385	0	1	04	01	H5216_385_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	100	3		1			101010	car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	386	1	1	04	01	H5216_386_1	4	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	386	2	1	04	01	H5216_386_2	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	387	1	1	04	01	H5216_387_1	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	387	2	1	04	01	H5216_387_2	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	388	0	1	04	01	H5216_388_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	100	3		1			101010	car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	389	0	1	04	01	H5216_389_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	390	0	1	04	01	H5216_390_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	391	0	1	04	01	H5216_391_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	392	0	1	04	01	H5216_392_0	5	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	2																																							
H5216	393	0	1	04	01	H5216_393_0	5	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	2																																							
H5216	394	0	1	04	01	H5216_394_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			100010	Services arranged by the plan's transportation provider to approved locations by means of car, van, or wheelchair access vehicle that provide members access to health benefits.											2				2				2			2		1	0.00	0.00	1	2
H5216	395	0	1	04	01	H5216_395_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	396	0	1	04	01	H5216_396_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	397	0	1	04	01	H5216_397_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5216	398	0	1	04	01	H5216_398_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5216	399	0	1	04	01	H5216_399_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5216	400	0	1	04	01	H5216_400_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	401	0	1	04	01	H5216_401_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5216	805	0	1	04	01	H5216_805_0	6	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5216	806	0	1	04	01	H5216_806_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5216	808	0	2	04	01	H5216_808_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5216	809	0	2	04	01	H5216_809_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5216	811	0	1	04	01	H5216_811_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5216	812	0	1	04	01	H5216_812_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5216	813	0	1	04	01	H5216_813_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5216	814	0	1	04	01	H5216_814_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5216	817	0	1	04	01	H5216_817_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5216	818	0	1	04	01	H5216_818_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5216	821	0	1	04	01	H5216_821_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5216	824	0	1	04	01	H5216_824_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5232	001	0	1	04	01	H5232_001_0	9	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	2																																							
H5232	002	0	1	04	01	H5232_002_0	5	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5244	001	0	1	01	01	H5244_001_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		2			2	2
H5244	002	0	1	01	01	H5244_002_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			2	2
H5244	003	0	1	01	01	H5244_003_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			2	2
H5244	004	0	1	01	01	H5244_004_0	10	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011010												2				2				2			2		2			2	2
H5253	004	0	1	02	01	H5253_004_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H5253	007	0	1	02	01	H5253_007_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H5253	011	0	1	02	01	H5253_011_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H5253	021	0	1	02	01	H5253_021_0	4	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H5253	024	0	1	02	01	H5253_024_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H5253	030	0	1	02	01	H5253_030_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H5253	033	0	1	02	01	H5253_033_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H5253	034	0	1	02	01	H5253_034_0	5	2								2							2				1	11	175.00	175.00	175.00	175.00	2	1	2																																							
H5253	035	0	1	02	01	H5253_035_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H5253	036	0	1	02	01	H5253_036_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H5253	037	0	1	02	01	H5253_037_0	5	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5253	038	0	1	02	01	H5253_038_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H5253	039	0	1	02	01	H5253_039_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H5253	040	0	1	02	01	H5253_040_0	4	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H5253	041	0	1	02	01	H5253_041_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H5253	042	0	1	02	01	H5253_042_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	18	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H5253	043	0	1	02	01	H5253_043_0	4	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H5253	047	0	1	02	01	H5253_047_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H5253	048	0	1	02	01	H5253_048_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H5253	051	0	1	02	01	H5253_051_0	5	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H5253	059	0	1	02	01	H5253_059_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	84	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H5253	060	0	1	02	01	H5253_060_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	12	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H5253	062	0	1	02	01	H5253_062_0	5	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H5253	064	0	1	02	01	H5253_064_0	4	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H5253	072	0	1	02	01	H5253_072_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H5253	073	0	1	02	01	H5253_073_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H5253	079	0	1	02	01	H5253_079_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H5253	080	0	1	02	01	H5253_080_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H5253	081	0	1	02	01	H5253_081_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H5253	082	0	1	02	01	H5253_082_0	6	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5253	083	0	1	02	01	H5253_083_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H5253	084	0	1	02	01	H5253_084_0	6	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H5253	087	0	1	02	01	H5253_087_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H5253	088	0	1	02	01	H5253_088_0	5	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5253	089	0	1	02	01	H5253_089_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H5253	097	0	1	02	01	H5253_097_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H5253	099	0	1	02	01	H5253_099_0	5	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5253	100	0	1	02	01	H5253_100_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H5253	102	0	1	02	01	H5253_102_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H5253	103	0	1	02	01	H5253_103_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H5253	104	0	1	02	01	H5253_104_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H5253	105	0	1	02	01	H5253_105_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H5253	107	1	1	02	01	H5253_107_1	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H5253	107	2	1	02	01	H5253_107_2	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H5253	108	1	1	02	01	H5253_108_1	6	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H5253	108	2	1	02	01	H5253_108_2	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H5253	108	3	1	02	01	H5253_108_3	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H5253	109	1	1	02	01	H5253_109_1	6	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H5253	109	2	1	02	01	H5253_109_2	6	2								2							2				1	11	180.00	180.00	180.00	180.00	2	1	2																																							
H5253	109	4	1	02	01	H5253_109_4	6	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	2																																							
H5253	110	0	1	02	01	H5253_110_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H5253	111	1	1	02	01	H5253_111_1	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H5253	111	2	1	02	01	H5253_111_2	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H5253	112	1	1	02	01	H5253_112_1	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H5253	112	2	1	02	01	H5253_112_2	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H5253	113	0	1	02	01	H5253_113_0	4	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H5253	116	0	1	02	01	H5253_116_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H5253	117	0	1	02	01	H5253_117_0	5	2								2							2				1	11	220.00	220.00	220.00	220.00	2	1	2																																							
H5253	119	0	1	02	01	H5253_119_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H5253	120	0	1	02	01	H5253_120_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H5253	121	0	1	02	01	H5253_121_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H5253	122	0	1	02	01	H5253_122_0	4	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H5253	124	1	1	02	01	H5253_124_1	5	2								2							2				1	11	230.00	230.00	230.00	230.00	2	1	2																																							
H5253	124	2	1	02	01	H5253_124_2	5	2								2							2				1	11	170.00	170.00	170.00	170.00	2	1	2																																							
H5253	125	1	1	02	01	H5253_125_1	5	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	2																																							
H5253	125	2	1	02	01	H5253_125_2	5	2								2							2				1	11	75.00	75.00	75.00	75.00	2	1	2																																							
H5253	126	1	1	02	01	H5253_126_1	6	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H5253	126	2	1	02	01	H5253_126_2	5	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H5253	127	0	1	02	01	H5253_127_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H5253	128	0	1	02	01	H5253_128_0	5	2								2							2				1	11	185.00	185.00	185.00	185.00	2	1	2																																							
H5253	130	0	1	02	01	H5253_130_0	5	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	2																																							
H5253	131	0	1	02	01	H5253_131_0	5	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	2																																							
H5253	132	0	1	02	01	H5253_132_0	5	2								2							2				1	11	190.00	190.00	190.00	190.00	2	1	2																																							
H5253	133	0	1	02	01	H5253_133_0	5	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H5253	134	0	1	02	01	H5253_134_0	5	2								2							2				1	11	190.00	190.00	190.00	190.00	2	1	2																																							
H5253	135	0	1	02	01	H5253_135_0	5	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	2																																							
H5253	136	0	1	02	01	H5253_136_0	6	2								2							2				1	11	255.00	255.00	255.00	255.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H5253	141	0	1	02	01	H5253_141_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H5253	142	0	1	02	01	H5253_142_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H5253	143	0	1	02	01	H5253_143_0	4	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H5253	144	1	1	02	01	H5253_144_1	5	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H5253	144	2	1	02	01	H5253_144_2	5	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H5253	801	0	1	01	01	H5253_801_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5253	802	0	1	01	01	H5253_802_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5253	805	0	1	01	01	H5253_805_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5253	810	0	1	01	01	H5253_810_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5253	811	0	1	01	01	H5253_811_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5253	812	0	1	01	01	H5253_812_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5253	813	0	1	01	01	H5253_813_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5253	814	0	1	01	01	H5253_814_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5253	815	0	1	01	01	H5253_815_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5253	816	0	2	01	01	H5253_816_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5253	817	0	2	01	01	H5253_817_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5253	818	0	1	01	01	H5253_818_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5253	819	0	1	01	01	H5253_819_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5253	820	0	1	01	01	H5253_820_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5253	821	0	1	01	01	H5253_821_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5253	822	0	1	01	01	H5253_822_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5253	823	0	1	01	01	H5253_823_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5253	824	0	1	01	01	H5253_824_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5253	825	0	1	01	01	H5253_825_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5253	826	0	2	01	01	H5253_826_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5256	001	0	1	18	06	H5256_001_0	3	2								2							2				2							2	2																																							
H5256	002	0	1	18	06	H5256_002_0	3	2								2							2				2							2	2																																							
H5256	004	0	1	18	06	H5256_004_0	3	2								2							2				2							2	2																																							
H5256	005	0	1	18	06	H5256_005_0	3	2								2							2				2							2	2																																							
H5262	001	0	1	01	01	H5262_001_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	2	1	2											2	1				1			011000		2				2				2			2		2			2	2
H5262	003	0	1	01	01	H5262_003_0	4	2								2							2				1	11	300.00	300.00	300.00	300.00	2	2	1	2											2	1				1			011000		2				2				2			2		2			2	2
H5262	004	0	1	01	01	H5262_004_0	3	2								2							2				1	11	300.00	300.00	300.00	300.00	2	2	1	2											2	1				1			011000		2				2				2			2		2			2	2
H5262	005	0	1	01	01	H5262_005_0	3	2								2							2				1	11	275.00	275.00	275.00	275.00	2	2	1	2											2	1				1			011000		2				2				2			2		2			2	2
H5262	007	0	1	01	01	H5262_007_0	4	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	1	2											2	1				1			011000		2				2				2			2		2			2	2
H5262	008	0	1	01	01	H5262_008_0	4	2								2							2				1	11	275.00	275.00	275.00	275.00	2	2	1	2											2	1				1			011000		2				2				2			2		2			2	2
H5262	009	0	1	01	01	H5262_009_0	3	2								2							2				1	11	275.00	275.00	275.00	275.00	2	2	1	2											2	1				1			011000		2				2				2			2		2			2	2
H5262	010	0	1	01	01	H5262_010_0	3	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	1	2											2	1				1			011000		2				2				2			2		2			2	2
H5262	011	0	1	01	01	H5262_011_0	4	2								2							2				1	11	275.00	275.00	275.00	275.00	2	2	1	2											2	1				1			011000		2				2				2			2		2			2	2
H5262	012	0	1	01	01	H5262_012_0	4	2								2							2				1	11	275.00	275.00	275.00	275.00	2	2	1	2											2	1				1			011000		2				2				2			2		2			2	2
H5262	013	0	1	01	01	H5262_013_0	3	2								2							2				1	11	275.00	275.00	275.00	275.00	2	2	1	2											2	1				1			011000		2				2				2			2		2			2	2
H5262	018	0	1	01	01	H5262_018_0	4	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	1	2											2	1				1			011000		2				2				2			2		2			2	2
H5262	019	0	1	01	01	H5262_019_0	4	2								2							2				1	11	275.00	275.00	275.00	275.00	2	2	1	2											2	1				1			011000		2				2				2			2		2			2	2
H5262	020	0	1	01	01	H5262_020_0	3	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	1	2											2	1				1			011000		2				2				2			2		2			2	2
H5262	021	0	1	01	01	H5262_021_0	4	2								2							2				1	11	350.00	350.00	350.00	350.00	2	2	1	2											2	1				1			011000		2				2				2			2		2			2	2
H5262	023	0	1	01	01	H5262_023_0	4	2								2							2				1	11	300.00	300.00	300.00	300.00	2	2	1	2											2	1				1			011000		2				2				2			2		2			2	2
H5262	024	0	1	01	01	H5262_024_0	4	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	1	2											2	1				1			011000		2				2				2			2		2			2	2
H5262	025	0	1	01	01	H5262_025_0	3	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	1	2											2	1				1			011000		2				2				2			2		2			2	2
H5262	026	0	1	01	01	H5262_026_0	4	2								2							2				1	11	225.00	225.00	225.00	225.00	2	2	1	2											2	1				1			011000		2				2				2			2		2			2	2
H5262	027	0	1	01	01	H5262_027_0	3	2								2							2				1	11	225.00	225.00	225.00	225.00	2	2	1	2											2	1				1			011000		2				2				2			2		2			2	2
H5262	029	0	1	01	01	H5262_029_0	4	2								1	11	20	20	20	20	2	2				2							2	1	2											2	1				1			011000		2				2				2			2		2			2	2
H5262	030	0	1	01	01	H5262_030_0	4	2								1	11	20	20	20	20	2	2				2							2	1	2											2	1				1			011000		2				2				2			2		2			2	2
H5262	031	0	1	01	01	H5262_031_0	4	2								1	11	20	20	20	20	2	2				2							2	1	2											2	1				1			011000		2				2				2			2		2			2	2
H5262	801	0	1	01	01	H5262_801_0	2	2								1	11	20	20	20	20	2	2				2							2	2																																							
H5262	802	0	1	01	01	H5262_802_0	2	2								1	11	20	20	20	20	2	2				2							2	2																																							
H5264	002	0	1	18	06	H5264_002_0	4	2								2							2				2							2	2																																							
H5264	005	0	1	18	06	H5264_005_0	4	2								2							2				2							2	2																																							
H5273	001	0	1	01	01	H5273_001_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5273	801	0	1	01	01	H5273_801_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5273	802	0	1	01	01	H5273_802_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5273	803	0	1	01	01	H5273_803_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5273	804	0	1	01	01	H5273_804_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5280	001	0	1	48	05	H5280_001_0	6	2								2							2				2							1	1	1	2	2	30	3		1			011111												2				2				2			2		2			1	2
H5294	010	0	1	01	01	H5294_010_0	17	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			011010												2				2				2			2		1	0.00	0.00	1	2
H5294	011	0	1	01	01	H5294_011_0	17	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	60	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H5294	012	0	1	01	01	H5294_012_0	17	2								2							2				1	11	280.00	280.00	280.00	280.00	2	1	2																																							
H5294	013	0	1	01	01	H5294_013_0	6	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	1				1			011010												2				2				2			2		1	0.00	0.00	1	2
H5294	014	0	1	01	01	H5294_014_0	15	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	36	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H5294	015	0	1	01	01	H5294_015_0	17	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			011010												2				2				2			2		1	0.00	0.00	1	2
H5294	016	0	1	01	01	H5294_016_0	6	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H5294	017	0	1	01	01	H5294_017_0	17	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5294	018	0	1	01	01	H5294_018_0	17	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5294	019	0	1	01	01	H5294_019_0	17	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5294	020	0	1	01	01	H5294_020_0	17	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H5296	003	0	1	02	01	H5296_003_0	13	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	28	3		1			000010												2				2				2			2		2			1	1
H5296	004	0	1	02	01	H5296_004_0	13	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	50	3		1			000010												2				2				2			2		2			1	1
H5296	005	0	1	02	01	H5296_005_0	13	2								2							2				1	11	100.00	100.00	100.00	100.00	1	1	1	1	2	2	50	3		1			000010												2				2				2			2		2			1	1
H5296	006	0	1	01	01	H5296_006_0	10	2								2							2				1	11	200.00	200.00	200.00	200.00	1	1	2																																							
H5296	007	0	1	01	01	H5296_007_0	13	2								2							2				1	11	50.00	50.00	50.00	50.00	1	1	1	1	2	2	24	3		1			000010												2				2				2			2		2			1	1
H5296	008	0	1	01	01	H5296_008_0	13	2								2							2				1	11	100.00	100.00	200.00	200.00	1	1	2																																							
H5296	801	0	1	01	01	H5296_801_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5296	802	0	1	01	01	H5296_802_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5296	803	0	1	01	01	H5296_803_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5296	804	0	1	01	01	H5296_804_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5299	001	0	1	01	01	H5299_001_0	11	2								1	10			20	20	2	2				1	01	290.00	290.00			2	1	2																																							
H5299	002	0	1	01	01	H5299_002_0	10	2								1	10			20	20	2	2				1	01	295.00	295.00			2	1	2																																							
H5299	003	0	1	01	01	H5299_003_0	11	2								1	10			20	20	2	2				1	01	290.00	290.00			2	1	2																																							
H5299	004	0	1	01	01	H5299_004_0	11	2								1	10			20	20	2	2				1	01	290.00	290.00			2	1	2																																							
H5299	006	0	1	01	01	H5299_006_0	13	2								1	11	40	40	40	40	2	2				2							1	2																																							
H5299	009	0	1	01	01	H5299_009_0	12	2								1	10			20	20	2	2				1	01	290.00	290.00			2	1	2																																							
H5299	012	0	1	01	01	H5299_012_0	10	2								1	10			20	20	2	2				1	01	295.00	295.00			2	1	2																																							
H5302	012	0	1	01	01	H5302_012_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H5302	013	0	1	01	01	H5302_013_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H5302	014	0	1	01	01	H5302_014_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H5302	019	0	1	01	01	H5302_019_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5302	020	0	1	01	01	H5302_020_0	6	2								1	10			20	20	2	2				1	01	280.00	280.00			2	1	1	1	2	2	36	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H5302	809	0	1	01	01	H5302_809_0	7	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5302	810	0	1	01	01	H5302_810_0	7	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5309	001	0	1	04	01	H5309_001_0	4	2								2							2				1	11	285.00	285.00	285.00	285.00	2	1	2																																							
H5309	002	0	1	04	01	H5309_002_0	4	2								2							2				1	11	285.00	285.00	285.00	285.00	2	1	2																																							
H5309	003	0	1	04	01	H5309_003_0	4	2								2							2				1	11	285.00	285.00	285.00	285.00	2	1	2																																							
H5309	004	0	1	04	01	H5309_004_0	1	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	2																																							
H5322	001	0	1	02	01	H5322_001_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	18	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H5322	003	0	1	02	01	H5322_003_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	18	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H5322	025	0	1	02	01	H5322_025_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H5322	026	0	1	02	01	H5322_026_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H5322	028	0	1	02	01	H5322_028_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H5322	029	0	1	02	01	H5322_029_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H5322	030	0	1	02	01	H5322_030_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H5322	031	0	1	02	01	H5322_031_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H5322	033	0	1	02	01	H5322_033_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H5322	034	0	1	02	01	H5322_034_0	4	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H5322	038	0	1	02	01	H5322_038_0	4	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H5322	039	0	1	02	01	H5322_039_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H5322	040	0	1	02	01	H5322_040_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H5322	041	0	1	02	01	H5322_041_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H5322	042	0	1	02	01	H5322_042_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H5322	043	0	1	02	01	H5322_043_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	12	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H5322	044	0	1	02	01	H5322_044_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H5322	801	0	1	01	01	H5322_801_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5322	802	0	1	01	01	H5322_802_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5322	803	0	1	01	01	H5322_803_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5322	804	0	2	01	01	H5322_804_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5325	001	0	1	01	01	H5325_001_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	50	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H5325	002	0	1	01	01	H5325_002_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	50	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H5325	003	0	1	01	01	H5325_003_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	50	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H5325	004	0	1	01	01	H5325_004_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H5325	005	0	1	01	01	H5325_005_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H5325	006	0	1	01	01	H5325_006_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	40	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H5325	007	0	1	01	01	H5325_007_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	40	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H5325	009	0	1	01	01	H5325_009_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	40	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H5325	010	0	1	01	01	H5325_010_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	40	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H5325	011	0	1	01	01	H5325_011_0	6	2								1	10			20	20	2	2				1	01	290.00	290.00			2	1	1	1	2	2	36	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H5361	001	0	1	04	01	H5361_001_0	4	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	24	3		1			111010	Transport services also include medical sedan and wheelchair van.  Mileage limits apply for all modes of transportation.											2				2				2			2		1	0.00	0.00	2	2
H5361	002	0	1	04	01	H5361_002_0	4	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	24	3		1			111010	#10b1 Transport services also include sedan and wheelchair van. Mileage limits apply for all modes of transportation.											2				2				2			2		1	0.00	0.00	2	2
H5361	003	0	1	04	01	H5361_003_0	4	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5361	004	0	1	04	01	H5361_004_0	4	2								2							2				1	11	320.00	320.00	320.00	320.00	2	1	2																																							
H5373	001	0	1	02	01	H5373_001_0	10	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H5374	001	0	1	01	01	H5374_001_0	9	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	18	3		1			010111												2				2				2			2		2			2	2
H5377	002	0	1	02	01	H5377_002_0	11	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	36	3		1			101010	Services arranged by the plan's transportation provider to approved locations by means of car, van, or wheelchair access vehicle that provide members access to health benefits.											2				2				2			2		1	0.00	0.00	1	2
H5386	003	0	1	01	01	H5386_003_0	5	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5386	004	0	1	01	01	H5386_004_0	5	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5386	005	0	1	01	01	H5386_005_0	5	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5386	801	0	1	01	01	H5386_801_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5386	802	0	1	01	01	H5386_802_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5386	803	0	1	01	01	H5386_803_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5398	002	0	1	01	01	H5398_002_0	17	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	1				1			011010												2				2				2			2		1	0.00	0.00	1	2
H5398	004	0	1	01	01	H5398_004_0	16	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	2																																							
H5403	001	0	1	20	08	H5403_001_0	1																																																																			
H5403	002	0	1	20	08	H5403_002_0	1																																																																			
H5405	001	0	1	20	08	H5405_001_0	1																																																																			
H5405	002	0	1	20	08	H5405_002_0	1																																																																			
H5406	001	0	1	20	08	H5406_001_0	1																																																																			
H5406	002	0	1	20	08	H5406_002_0	1																																																																			
H5410	004	0	1	01	01	H5410_004_0	5	2								1	10			20	20	2	2				1	01	225.00	225.00			2	1	2																																							
H5410	013	0	1	01	01	H5410_013_0	9	2								1	10			20	20	2	2				1	01	225.00	225.00			2	1	1	1	2	2	40	3		1			011011												2				2				2			2		2			1	2
H5410	018	0	1	01	01	H5410_018_0	7	2								1	10			20	20	2	2				1	01	235.00	235.00			2	1	2																																							
H5410	024	0	1	01	01	H5410_024_0	7	2								1	10			20	20	2	2				1	01	280.00	280.00			2	1	1	1	2	2	10	3		1			011011												2				2				2			2		2			1	2
H5410	025	0	1	01	01	H5410_025_0	8	2								1	10			20	20	2	2				2							1	1	1	2	1				1			011011												2				2				2			2		2			1	2
H5410	026	0	1	01	01	H5410_026_0	7	2								1	10			20	20	2	2				1	01	285.00	285.00			2	1	1	1	2	2	10	3		1			011011												2				2				2			2		2			1	2
H5410	027	0	1	01	01	H5410_027_0	7	2								1	10			20	20	2	2				1	01	285.00	285.00			2	1	1	1	2	2	10	3		1			011011												2				2				2			2		2			1	2
H5410	028	0	1	01	01	H5410_028_0	7	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	2	10	3		1			011011												2				2				2			2		2			1	2
H5410	029	0	1	01	01	H5410_029_0	7	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	1	1	2	2	10	3		1			011011												2				2				2			2		2			1	2
H5410	030	0	1	01	01	H5410_030_0	7	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	1	1	2	2	10	3		1			011011												2				2				2			2		2			1	2
H5410	031	0	1	01	01	H5410_031_0	8	2								1	10			20	20	2	2				2							1	1	1	2	1				1			011011												2				2				2			2		2			1	2
H5410	032	0	1	01	01	H5410_032_0	8	2								1	10			20	20	2	2				2							1	1	1	2	1				1			011011												2				2				2			2		2			1	2
H5410	037	0	1	01	01	H5410_037_0	7	2								1	10			20	20	2	2				1	01	295.00	295.00			2	1	1	1	2	2	10	3		1			011011												2				2				2			2		2			1	2
H5410	039	0	1	01	01	H5410_039_0	7	2								1	10			20	20	2	2				1	01	235.00	235.00			2	1	1	1	2	2	20	3		1			011011												2				2				2			2		2			1	2
H5410	040	0	1	01	01	H5410_040_0	7	2								1	10			20	20	2	2				1	01	260.00	260.00			2	1	1	1	2	2	10	3		1			011011												2				2				2			2		2			1	2
H5410	041	0	1	01	01	H5410_041_0	8	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	1	1	2	2	10	3		1			011011												2				2				2			2		2			1	2
H5410	042	0	1	01	01	H5410_042_0	8	2								1	10			20	20	2	2				2							1	1	1	2	2	50	3		1			011011												2				2				2			2		2			1	2
H5410	043	0	1	01	01	H5410_043_0	7	2								1	10			20	20	2	2				1	01	215.00	215.00			2	1	1	1	2	2	50	3		1			011011												2				2				2			2		2			1	2
H5410	044	0	1	01	01	H5410_044_0	7	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	1	1	2	2	10	3		1			011011												2				2				2			2		2			1	2
H5410	045	0	1	01	01	H5410_045_0	8	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			011011												2				2				2			2		2			1	2
H5410	046	0	1	01	01	H5410_046_0	8	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			011011												2				2				2			2		2			1	2
H5410	047	0	1	01	01	H5410_047_0	8	2								1	10			20	20	2	2				2							1	1	1	2	1				1			011011												2				2				2			2		2			1	2
H5410	048	0	1	01	01	H5410_048_0	7	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	1				1			011011												2				2				2			2		2			1	2
H5410	049	0	1	01	01	H5410_049_0	9	2								1	10			20	20	2	2				2							1	1	1	2	1				1			011011												2				2				2			2		2			1	2
H5410	050	0	1	01	01	H5410_050_0	7	2								1	10			20	20	2	2				1	01	280.00	280.00			2	1	1	1	2	2	10	3		1			011011												2				2				2			2		2			1	2
H5410	051	0	1	01	01	H5410_051_0	7	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	1				1			011011												2				2				2			2		2			1	2
H5410	052	0	1	01	01	H5410_052_0	7	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	1				1			011011												2				2				2			2		2			1	2
H5410	053	0	1	01	01	H5410_053_0	7	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	1				1			011011												2				2				2			2		2			1	2
H5410	054	0	1	01	01	H5410_054_0	7	2								1	10			20	20	2	2				1	01	290.00	290.00			2	1	1	1	2	2	10	3		1			011011												2				2				2			2		2			1	2
H5410	055	0	1	01	01	H5410_055_0	8	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	1				1			011011												2				2				2			2		2			1	2
H5410	056	0	1	01	01	H5410_056_0	8	2								1	10			20	20	2	2				2							1	1	1	2	1				1			011011												2				2				2			2		2			1	2
H5410	057	0	1	01	01	H5410_057_0	5	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			1	2
H5410	058	0	1	01	01	H5410_058_0	5	2								1	10			20	20	2	2				1	01	285.00	285.00			2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			1	2
H5410	808	0	1	01	01	H5410_808_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5420	001	0	1	01	01	H5420_001_0	5	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	2	1				1			000010												2				2				2			2		1	0.00	0.00	2	2
H5420	003	0	1	01	01	H5420_003_0	5	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H5420	006	0	1	01	01	H5420_006_0	5	2								2							2				1	11	0.00	0.00	0.00	0.00	2	1	1	1	2	1				1			000010												2				2				2			2		1	0.00	0.00	2	2
H5420	014	0	1	01	01	H5420_014_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	1				1			000010												2				2				2			2		1	0.00	0.00	2	2
H5422	007	0	1	01	01	H5422_007_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	96	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H5422	011	0	1	01	01	H5422_011_0	6	2								2							2				1	11	285.00	285.00	285.00	285.00	2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H5422	013	0	1	01	01	H5422_013_0	6	2								1	10			20	20	2	2				1	01	295.00	295.00			2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H5422	014	0	1	01	01	H5422_014_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H5422	015	0	1	01	01	H5422_015_0	5	2								2							2				1	11	280.00	280.00	280.00	280.00	2	1	1	1	2	2	72	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H5422	016	0	1	01	01	H5422_016_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H5422	018	0	1	01	01	H5422_018_0	5	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H5422	019	0	1	01	01	H5422_019_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H5422	803	0	1	01	01	H5422_803_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5422	804	0	1	01	01	H5422_804_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5422	806	0	2	01	01	H5422_806_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5422	807	0	2	01	01	H5422_807_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5422	809	0	1	01	01	H5422_809_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5422	811	0	2	01	01	H5422_811_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5425	001	0	1	01	01	H5425_001_0	7	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	32	3		1			011010												2				2				2			2		2			2	2
H5425	004	0	1	01	01	H5425_004_0	8	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	36	3		1			011010												2				2				2			2		2			2	2
H5425	005	0	1	01	01	H5425_005_0	8	2								2							2				1	11	240.00	240.00	240.00	240.00	2	1	1	1	2	2	36	3		1			011010												2				2				2			2		2			2	2
H5425	006	0	1	01	01	H5425_006_0	10	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	32	3		1			011010												2				2				2			2		2			2	2
H5425	007	0	1	01	01	H5425_007_0	8	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	32	3		1			011010												2				2				2			2		2			2	2
H5425	008	0	1	01	01	H5425_008_0	7	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	32	3		1			011010												2				2				2			2		2			2	2
H5425	009	0	1	01	01	H5425_009_0	7	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	32	3		1			011010												2				2				2			2		2			2	2
H5425	019	0	1	01	01	H5425_019_0	8	2								2							2				1	11	175.00	175.00	175.00	175.00	2	1	1	1	2	2	36	3		1			011010												2				2				2			2		2			2	2
H5425	020	0	1	01	01	H5425_020_0	6	2								2							2				1	11	195.00	195.00	195.00	195.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		2			2	2
H5425	028	0	1	01	01	H5425_028_0	9	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	34	3		1			011011												2				2				2			2		2			2	2
H5425	033	0	1	01	01	H5425_033_0	7	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	34	3		1			011011												2				2				2			2		2			2	2
H5425	034	0	1	01	01	H5425_034_0	8	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	34	3		1			011011												2				2				2			2		2			2	2
H5425	055	0	1	01	01	H5425_055_0	8	2								2							2				1	11	240.00	240.00	240.00	240.00	2	1	1	1	2	2	22	3		1			011010												2				2				2			2		2			2	2
H5425	065	0	1	01	01	H5425_065_0	8	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	44	3		1			011010												2				2				2			2		2			2	2
H5425	066	0	1	01	01	H5425_066_0	8	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	44	3		1			011010												2				2				2			2		2			2	2
H5425	067	0	1	01	01	H5425_067_0	8	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	44	3		1			011010												2				2				2			2		2			2	2
H5425	068	0	1	01	01	H5425_068_0	6	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	44	3		1			011010												2				2				2			2		2			2	2
H5425	069	0	1	01	01	H5425_069_0	6	2								2							2				1	11	95.00	95.00	95.00	95.00	2	1	1	1	2	2	32	3		1			011010												2				2				2			2		2			2	2
H5425	070	0	1	01	01	H5425_070_0	6	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	28	3		1			011011												2				2				2			2		2			2	2
H5425	073	0	1	01	01	H5425_073_0	6	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		2			2	2
H5425	075	0	1	01	01	H5425_075_0	8	2								2							2				1	11	180.00	180.00	180.00	180.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		2			2	2
H5425	076	0	1	01	01	H5425_076_0	8	2								2							2				1	11	180.00	180.00	180.00	180.00	2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			2	2
H5425	077	0	1	01	01	H5425_077_0	8	2								2							2				1	11	180.00	180.00	180.00	180.00	2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			2	2
H5425	078	0	1	01	01	H5425_078_0	8	2								2							2				1	11	105.00	105.00	105.00	105.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		2			2	2
H5425	082	0	1	01	01	H5425_082_0	7	2								2							2				1	11	75.00	75.00	75.00	75.00	2	1	1	1	2	2	32	3		1			011010												2				2				2			2		2			2	2
H5425	083	0	1	01	01	H5425_083_0	8	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	36	3		1			011010												2				2				2			2		2			2	2
H5425	084	0	1	01	01	H5425_084_0	8	2								2							2				1	11	155.00	155.00	155.00	155.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		2			2	2
H5425	085	0	1	01	01	H5425_085_0	7	2								2							2				1	11	155.00	155.00	155.00	155.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		2			2	2
H5425	086	0	1	01	01	H5425_086_0	9	2								2							2				1	11	95.00	95.00	95.00	95.00	2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			2	2
H5425	087	0	1	01	01	H5425_087_0	9	2								2							2				1	11	95.00	95.00	95.00	95.00	2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			2	2
H5425	091	0	1	01	01	H5425_091_0	8	2								2							2				1	11	95.00	95.00	95.00	95.00	2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			2	2
H5425	092	0	1	01	01	H5425_092_0	6	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	20	3		1			011010												2				2				2			2		2			2	2
H5425	096	0	1	01	01	H5425_096_0	8	2								2							2				1	11	75.00	75.00	75.00	75.00	2	1	1	1	2	2	20	3		1			011010												2				2				2			2		2			2	2
H5425	097	0	1	01	01	H5425_097_0	9	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011010												2				2				2			2		2			2	2
H5425	098	0	1	01	01	H5425_098_0	8	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011010												2				2				2			2		2			2	2
H5425	100	0	1	01	01	H5425_100_0	6	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		2			2	2
H5425	101	0	1	01	01	H5425_101_0	8	2								2							2				1	11	75.00	75.00	75.00	75.00	2	1	1	1	2	2	32	3		1			011010												2				2				2			2		2			2	2
H5425	102	0	1	01	01	H5425_102_0	8	2								2							2				1	11	75.00	75.00	75.00	75.00	2	1	1	1	2	2	32	3		1			011011												2				2				2			2		2			2	2
H5425	103	0	1	01	01	H5425_103_0	8	2								2							2				1	11	75.00	75.00	75.00	75.00	2	1	1	1	2	2	32	3		1			011011												2				2				2			2		2			2	2
H5425	104	0	1	01	01	H5425_104_0	8	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	34	3		1			011011												2				2				2			2		2			2	2
H5425	105	0	1	01	01	H5425_105_0	8	2								2							2				1	11	75.00	75.00	75.00	75.00	2	1	1	1	2	2	32	3		1			011011												2				2				2			2		2			2	2
H5425	106	0	1	01	01	H5425_106_0	8	2								2							2				1	11	175.00	175.00	175.00	175.00	2	1	1	1	2	2	36	3		1			011011												2				2				2			2		2			2	2
H5425	107	0	1	01	01	H5425_107_0	8	2								2							2				1	11	175.00	175.00	175.00	175.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		2			2	2
H5425	108	0	1	01	01	H5425_108_0	8	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	22	3		1			011010												2				2				2			2		2			2	2
H5425	109	0	1	01	01	H5425_109_0	8	2								2							2				1	11	75.00	75.00	75.00	75.00	2	1	1	1	2	2	16	3		1			011010												2				2				2			2		2			2	2
H5425	110	0	1	01	01	H5425_110_0	8	2								2							2				1	11	105.00	105.00	105.00	105.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		2			2	2
H5425	111	0	1	01	01	H5425_111_0	8	2								2							2				1	11	175.00	175.00	175.00	175.00	2	1	1	1	2	2	36	3		1			011011												2				2				2			2		2			2	2
H5425	112	0	1	01	01	H5425_112_0	6	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	28	3		1			011011												2				2				2			2		2			2	2
H5425	115	0	1	01	01	H5425_115_0	6	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	32	3		1			011010												2				2				2			2		2			2	2
H5425	116	0	1	01	01	H5425_116_0	6	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	32	3		1			011010												2				2				2			2		2			2	2
H5425	803	0	1	01	01	H5425_803_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5425	804	0	1	01	01	H5425_804_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5425	806	0	1	01	01	H5425_806_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5425	807	0	1	01	01	H5425_807_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5427	052	0	1	01	01	H5427_052_0	6	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	2	6	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H5427	059	0	1	01	01	H5427_059_0	8	2								1	10			20	20	2	2				1	01	175.00	175.00			2	1	1	1	2	2	6	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H5427	060	0	1	01	01	H5427_060_0	8	2								1	10			20	20	2	2				1	01	175.00	175.00			2	1	1	1	2	2	6	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H5427	070	0	1	01	01	H5427_070_0	10	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	2	20	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H5427	072	0	1	01	01	H5427_072_0	8	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	2	20	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H5427	077	0	1	01	01	H5427_077_0	8	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	2	20	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H5427	078	0	1	01	01	H5427_078_0	10	2								2							2				1	11	0.00	0.00	0.00	0.00	2	1	1	1	2	1				1			011111												2				2				2			2		1	0.00	0.00	2	2
H5427	082	0	1	01	01	H5427_082_0	8	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	2	20	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H5427	083	0	1	01	01	H5427_083_0	7	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	2	20	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H5427	087	0	1	01	01	H5427_087_0	9	2								2							2				1	11	0.00	0.00	0.00	0.00	2	1	1	1	2	1				1			011111												2				2				2			2		1	0.00	0.00	2	2
H5427	088	0	1	01	01	H5427_088_0	7	2								1	10			20	20	2	2				1	01	175.00	175.00			2	1	1	1	2	2	12	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H5427	089	0	1	01	01	H5427_089_0	7	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	2	12	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H5427	091	0	1	01	01	H5427_091_0	7	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	2	12	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H5427	092	0	1	01	01	H5427_092_0	8	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	2	12	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H5427	093	0	1	01	01	H5427_093_0	7	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	2	12	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H5427	094	0	1	01	01	H5427_094_0	7	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	2	20	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H5427	096	0	1	01	01	H5427_096_0	7	2								1	10			20	20	2	2				1	01	175.00	175.00			2	1	1	1	2	2	20	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H5427	098	0	1	01	01	H5427_098_0	7	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	2	12	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H5427	099	0	1	01	01	H5427_099_0	7	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	2	20	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H5427	102	0	1	01	01	H5427_102_0	6	2								1	10			20	20	2	2				1	01	175.00	175.00			2	1	1	1	2	2	20	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H5427	103	0	1	01	01	H5427_103_0	6	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	2	20	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H5427	104	0	1	01	01	H5427_104_0	7	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	1				1			011111												2				2				2			2		1	0.00	0.00	2	2
H5427	105	0	1	01	01	H5427_105_0	6	2								1	10			20	20	2	2				1	01	175.00	175.00			2	1	1	1	2	2	20	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H5427	106	0	1	01	01	H5427_106_0	6	2								1	10			20	20	2	2				1	01	175.00	175.00			2	1	1	1	2	2	20	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H5427	107	0	1	01	01	H5427_107_0	6	2								1	10			20	20	2	2				1	01	175.00	175.00			2	1	1	1	2	2	20	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H5427	108	0	1	01	01	H5427_108_0	6	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	2	20	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H5427	109	0	1	01	01	H5427_109_0	7	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	1				1			011111												2				2				2			2		1	0.00	0.00	2	2
H5427	110	0	1	01	01	H5427_110_0	7	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	1				1			011111												2				2				2			2		1	0.00	0.00	2	2
H5427	111	0	1	01	01	H5427_111_0	7	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	1				1			011111												2				2				2			2		1	0.00	0.00	2	2
H5427	112	0	1	02	01	H5427_112_0	6	2								1	10			20	20	2	2				1	01	175.00	175.00			2	1	1	1	2	2	20	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H5427	113	0	1	02	01	H5427_113_0	6	2								1	10			20	20	2	2				1	01	175.00	175.00			2	1	1	1	2	2	20	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H5430	805	0	1	01	01	H5430_805_0	12	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5431	001	0	1	01	01	H5431_001_0	6	2								1	10			20	20	2	2				1	01	75.00	75.00			2	1	1	1	2	1				1			011110												2				2				2			2		1	0.00	0.00	1	1
H5431	006	0	1	01	01	H5431_006_0	6	2								2							2				1	11	0.00	0.00	0.00	0.00	2	1	1	1	2	1				1			011110												2				2				2			2		1	0.00	0.00	1	1
H5431	012	0	1	01	01	H5431_012_0	6	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	1				1			011110												2				2				2			2		1	0.00	0.00	1	1
H5431	013	0	1	01	01	H5431_013_0	6	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	1				1			011110												2				2				2			2		1	0.00	0.00	1	1
H5431	016	0	1	01	01	H5431_016_0	6	2								2							2				1	11	0.00	0.00	0.00	0.00	2	1	1	1	2	1				1			011110												2				2				2			2		1	0.00	0.00	1	1
H5431	017	0	1	01	01	H5431_017_0	6	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	1				1			011110												2				2				2			2		1	0.00	0.00	1	1
H5431	018	0	1	01	01	H5431_018_0	6	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	1				1			011110												2				2				2			2		1	0.00	0.00	1	1
H5431	019	0	1	01	01	H5431_019_0	6	2								2							2				1	11	0.00	0.00	0.00	0.00	2	1	1	1	2	1				1			011110												2				2				2			2		1	0.00	0.00	1	1
H5431	020	0	1	01	01	H5431_020_0	6	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	1				1			011110												2				2				2			2		1	0.00	0.00	1	1
H5431	021	0	1	01	01	H5431_021_0	6	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	1				1			011110												2				2				2			2		1	0.00	0.00	1	1
H5431	022	0	1	01	01	H5431_022_0	6	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	1				1			011110												2				2				2			2		1	0.00	0.00	1	1
H5433	001	0	1	01	01	H5433_001_0	5	2								1	11	20	20	20	20	1	2				2							1	1	1	2	1				2			010110												2				2				2			2		2			2	2
H5434	002	0	1	04	01	H5434_002_0	9	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	2																																							
H5434	023	0	1	04	01	H5434_023_0	9	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5434	024	0	1	04	01	H5434_024_0	9	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H5434	025	0	1	04	01	H5434_025_0	9	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5434	026	0	1	04	01	H5434_026_0	9	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5434	030	0	1	04	01	H5434_030_0	9	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5434	031	0	1	04	01	H5434_031_0	9	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5434	032	0	1	04	01	H5434_032_0	9	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5434	033	0	1	04	01	H5434_033_0	9	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5434	034	0	1	04	01	H5434_034_0	9	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	2																																							
H5434	035	0	1	04	01	H5434_035_0	9	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5434	036	0	1	04	01	H5434_036_0	9	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5434	038	0	1	04	01	H5434_038_0	8	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5434	039	0	1	04	01	H5434_039_0	9	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5434	040	0	1	04	01	H5434_040_0	8	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5434	041	0	1	04	01	H5434_041_0	8	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5434	042	0	1	04	01	H5434_042_0	8	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5434	044	0	1	04	01	H5434_044_0	8	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5434	801	0	1	04	01	H5434_801_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5434	802	0	1	04	01	H5434_802_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5435	001	0	1	09	04	H5435_001_0	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2		2																																							
H5435	024	0	1	09	04	H5435_024_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2		2																																							
H5439	010	0	1	04	01	H5439_010_0	15	2								2							2				1	11	175.00	175.00	175.00	175.00	2	1	2																																							
H5439	011	0	1	04	01	H5439_011_0	6	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H5439	015	0	1	04	01	H5439_015_0	17	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H5439	017	0	1	04	01	H5439_017_0	17	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H5439	019	0	1	04	01	H5439_019_0	17	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H5447	001	0	1	01	01	H5447_001_0	6	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	2											2	2	60	3		1			011111		2				2				2			2		2			1	2
H5447	002	0	1	01	01	H5447_002_0	5	2								1	11	20	20	20	20	1	2				2							1	1	2											2	2	60	3		1			011111		2				2				2			2		2			1	2
H5454	001	0	1	01	01	H5454_001_0	9	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	12	3		2			011011												2				2				2			2		2			2	2
H5454	002	0	1	01	01	H5454_002_0	9	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	12	3		2			011011												2				2				2			2		2			2	2
H5454	005	0	1	01	01	H5454_005_0	8	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	24	3		2			011011												2				2				2			2		2			2	2
H5454	006	0	1	01	01	H5454_006_0	8	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	24	3		2			011011												2				2				2			2		2			2	2
H5471	064	0	1	01	01	H5471_064_0	13	2								2							2				1	11	0.00	0.00	0.00	0.00	2	1	1	1	2	1				1			011110												2				2				2			2		1	0.00	0.00	2	2
H5471	065	0	1	01	01	H5471_065_0	9	2								1	10			20	20	2	2				1	01	75.00	75.00			2	1	1	1	2	1				1			011110												2				2				2			2		1	0.00	0.00	2	2
H5471	066	0	1	01	01	H5471_066_0	10	2								2							2				1	11	0.00	0.00	0.00	0.00	2	1	1	1	2	1				1			011110												2				2				2			2		1	0.00	0.00	2	2
H5471	068	0	1	01	01	H5471_068_0	8	2								1	10			20	20	2	2				1	01	0.00	0.00			2	1	1	1	2	2	24	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H5471	069	0	1	01	01	H5471_069_0	8	2								1	10			20	20	2	2				1	01	75.00	75.00			2	1	1	1	2	1				1			011110												2				2				2			2		1	0.00	0.00	2	2
H5471	070	0	1	01	01	H5471_070_0	10	2								1	10			20	20	2	2				1	01	100.00	100.00			2	1	1	1	2	2	24	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H5471	071	0	1	01	01	H5471_071_0	10	2								1	10			20	20	2	2				1	01	100.00	100.00			2	1	1	1	2	2	24	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H5471	072	0	1	01	01	H5471_072_0	9	2								2							2				1	11	0.00	0.00	0.00	0.00	2	1	1	1	2	1				1			011110												2				2				2			2		1	0.00	0.00	2	2
H5471	073	0	1	01	01	H5471_073_0	8	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	2	24	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H5471	074	0	1	01	01	H5471_074_0	8	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	2	24	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H5471	075	0	1	01	01	H5471_075_0	8	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	2	24	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H5471	076	0	1	01	01	H5471_076_0	9	2								2							2				1	11	0.00	0.00	0.00	0.00	2	1	1	1	2	1				1			011110												2				2				2			2		1	0.00	0.00	2	2
H5471	077	0	1	01	01	H5471_077_0	8	2								1	10			20	20	2	2				1	01	125.00	125.00			2	1	1	1	2	1				1			011110												2				2				2			2		1	0.00	0.00	2	2
H5471	078	0	1	01	01	H5471_078_0	8	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	2	24	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H5471	080	0	1	01	01	H5471_080_0	8	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	2	24	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H5471	082	0	1	01	01	H5471_082_0	9	2								2							2				1	11	0.00	0.00	0.00	0.00	2	1	1	1	2	1				1			011110												2				2				2			2		1	0.00	0.00	2	2
H5471	083	0	1	01	01	H5471_083_0	8	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	1				1			011110												2				2				2			2		1	0.00	0.00	2	2
H5471	084	0	1	01	01	H5471_084_0	9	2								2							2				1	11	0.00	0.00	0.00	0.00	2	1	1	1	2	1				1			011110												2				2				2			2		1	0.00	0.00	2	2
H5471	085	0	1	01	01	H5471_085_0	8	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	1				1			011110												2				2				2			2		1	0.00	0.00	2	2
H5471	103	0	1	01	01	H5471_103_0	8	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	2	12	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H5471	104	0	1	01	01	H5471_104_0	8	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	12	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H5471	105	0	1	01	01	H5471_105_0	8	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	12	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H5471	106	0	1	01	01	H5471_106_0	9	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	12	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H5471	107	0	1	01	01	H5471_107_0	8	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	12	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H5471	108	0	1	01	01	H5471_108_0	7	2								1	10			20	20	2	2				1	01	225.00	225.00			2	1	1	1	2	2	12	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H5471	110	0	1	01	01	H5471_110_0	8	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	1				1			011110												2				2				2			2		1	0.00	0.00	2	2
H5471	111	0	1	01	01	H5471_111_0	9	2								2							2				1	11	0.00	0.00	0.00	0.00	2	1	1	1	2	1				1			011110												2				2				2			2		1	0.00	0.00	2	2
H5471	112	0	1	01	01	H5471_112_0	8	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	12	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H5471	113	0	1	01	01	H5471_113_0	8	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	2	12	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H5471	114	0	1	01	01	H5471_114_0	9	2								1	10			20	20	2	2				1	01	0.00	0.00			2	1	1	1	2	1				1			011110												2				2				2			2		1	0.00	0.00	2	2
H5471	115	0	1	01	01	H5471_115_0	9	2								2							2				1	11	0.00	0.00	0.00	0.00	2	1	1	1	2	1				1			011110												2				2				2			2		1	0.00	0.00	2	2
H5471	116	0	1	01	01	H5471_116_0	8	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	2	24	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H5471	117	0	1	01	01	H5471_117_0	9	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	12	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H5471	118	0	1	01	01	H5471_118_0	10	2								2							2				1	11	0.00	0.00	0.00	0.00	2	1	1	1	2	1				1			011110												2				2				2			2		1	0.00	0.00	2	2
H5471	119	0	1	01	01	H5471_119_0	9	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	24	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H5471	120	0	1	01	01	H5471_120_0	8	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	12	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H5471	121	0	1	01	01	H5471_121_0	9	2								2							2				1	11	0.00	0.00	0.00	0.00	2	1	1	1	2	1				1			011110												2				2				2			2		1	0.00	0.00	2	2
H5471	122	0	1	01	01	H5471_122_0	8	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	24	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H5471	123	0	1	01	01	H5471_123_0	8	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	12	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H5471	124	0	1	01	01	H5471_124_0	8	2								1	10			20	20	2	2				1	01	125.00	125.00			2	1	1	1	2	1				1			011110												2				2				2			2		1	0.00	0.00	2	2
H5471	125	0	1	01	01	H5471_125_0	9	2								2							2				1	11	0.00	0.00	0.00	0.00	2	1	1	1	2	1				1			011110												2				2				2			2		1	0.00	0.00	2	2
H5471	126	0	1	01	01	H5471_126_0	8	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	24	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H5472	001	0	1	02	01	H5472_001_0	15	2								2							2				1	11	200.00	200.00	200.00	200.00	1	1	1	1	2	2	34	3		1			000010												2				2				2			2		2			1	1
H5472	002	0	1	02	01	H5472_002_0	14	2								2							2				1	11	200.00	200.00	200.00	200.00	1	1	1	1	2	2	50	3		1			000010												2				2				2			2		2			1	1
H5472	003	0	1	02	01	H5472_003_0	12	2								2							2				1	11	200.00	200.00	200.00	200.00	1	1	2																																							
H5472	004	0	1	02	01	H5472_004_0	16	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			000010												2				2				2			2		2			1	1
H5472	801	0	1	01	01	H5472_801_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5472	802	0	1	01	01	H5472_802_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5472	803	0	1	01	01	H5472_803_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5472	804	0	1	01	01	H5472_804_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5475	001	0	1	02	01	H5475_001_0	16	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H5475	011	0	1	02	01	H5475_011_0	16	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5475	021	0	1	02	01	H5475_021_0	15	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H5475	022	0	1	02	01	H5475_022_0	16	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H5475	024	0	1	02	01	H5475_024_0	6	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H5475	026	0	1	02	01	H5475_026_0	16	2								2							2				1	11	255.00	255.00	255.00	255.00	2	1	2																																							
H5475	031	0	1	01	01	H5475_031_0	16	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5475	032	0	1	01	01	H5475_032_0	16	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5475	038	0	1	01	01	H5475_038_0	6	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H5475	039	0	1	01	01	H5475_039_0	16	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H5493	001	0	1	20	08	H5493_001_0	2																																																																			
H5493	002	0	1	20	08	H5493_002_0	2																																																																			
H5496	005	0	1	01	01	H5496_005_0	5	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	2	100	3		1			011110												2				2				2			2		2			1	1
H5496	007	0	1	01	01	H5496_007_0	6	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	2	100	3		1			011110												2				2				2			2		2			1	1
H5496	011	0	1	01	01	H5496_011_0	7	2								1	11	20	20	20	20	1	2				2							1	1	1	2	2	100	3		1			011110												2				2				2			2		2			1	1
H5496	012	0	1	01	01	H5496_012_0	7	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	2	100	3		1			011110												2				2				2			2		2			1	1
H5496	014	0	1	01	01	H5496_014_0	6	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5496	016	0	1	01	01	H5496_016_0	5	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	2	100	3		1			011110												2				2				2			2		2			1	1
H5521	013	0	1	04	01	H5521_013_0	9	2								2							2				1	11	315.00	315.00	315.00	315.00	2	1	2																																							
H5521	015	0	1	04	01	H5521_015_0	7	2								1	10			20	20	2	2				1	01	255.00	255.00			2	1	2																																							
H5521	016	0	1	04	01	H5521_016_0	7	2								1	10			20	20	2	2				1	01	265.00	265.00			2	1	2																																							
H5521	020	0	1	04	01	H5521_020_0	7	2								2							2				1	11	255.00	255.00	255.00	255.00	2	1	2																																							
H5521	022	0	1	04	01	H5521_022_0	6	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H5521	027	0	1	04	01	H5521_027_0	7	2								1	10			20	20	2	2				1	01	270.00	270.00			2	1	2																																							
H5521	033	0	1	04	01	H5521_033_0	7	2								1	10			20	20	2	2				1	01	260.00	260.00			2	1	2																																							
H5521	037	0	1	04	01	H5521_037_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5521	040	0	1	04	01	H5521_040_0	8	2								2							2				1	11	280.00	280.00	280.00	280.00	2	1	2																																							
H5521	053	0	1	04	01	H5521_053_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H5521	055	0	1	04	01	H5521_055_0	6	2								2							2				1	11	310.00	310.00	310.00	310.00	2	1	2																																							
H5521	056	0	1	04	01	H5521_056_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H5521	076	0	1	04	01	H5521_076_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5521	077	0	1	04	01	H5521_077_0	8	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5521	081	0	1	04	01	H5521_081_0	8	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H5521	084	0	1	04	01	H5521_084_0	7	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H5521	085	0	1	04	01	H5521_085_0	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H5521	086	0	1	04	01	H5521_086_0	7	2								2							2				1	11	275.00	275.00	350.00	350.00	2	1	2																																							
H5521	087	0	1	04	01	H5521_087_0	6	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H5521	088	0	1	04	01	H5521_088_0	7	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H5521	089	0	1	04	01	H5521_089_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H5521	090	0	1	04	01	H5521_090_0	7	2								2							2				1	11	280.00	280.00	280.00	280.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H5521	091	0	1	04	01	H5521_091_0	4	2								2							2				1	11	285.00	285.00	285.00	285.00	2	1	2																																							
H5521	095	0	1	04	01	H5521_095_0	6	2								2							2				1	11	235.00	235.00	350.00	350.00	1	1	2																																							
H5521	099	0	1	04	01	H5521_099_0	7	2								2							2				1	11	280.00	280.00	330.00	330.00	2	1	2																																							
H5521	100	0	1	04	01	H5521_100_0	7	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	2																																							
H5521	101	0	1	04	01	H5521_101_0	7	2								2							2				1	11	240.00	240.00	240.00	240.00	2	1	2																																							
H5521	110	0	1	04	01	H5521_110_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5521	116	0	1	04	01	H5521_116_0	7	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H5521	117	0	1	04	01	H5521_117_0	7	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	2																																							
H5521	118	0	1	04	01	H5521_118_0	8	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5521	119	0	1	04	01	H5521_119_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5521	120	0	1	04	01	H5521_120_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5521	121	0	1	04	01	H5521_121_0	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H5521	122	0	1	04	01	H5521_122_0	6	2								2							2				1	11	250.00	250.00	370.00	370.00	1	1	2																																							
H5521	123	0	1	04	01	H5521_123_0	8	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H5521	124	0	1	04	01	H5521_124_0	8	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	2																																							
H5521	125	0	1	04	01	H5521_125_0	6	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	2																																							
H5521	127	0	1	04	01	H5521_127_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H5521	128	0	1	04	01	H5521_128_0	7	2								2							2				1	11	255.00	255.00	255.00	255.00	2	1	2																																							
H5521	134	0	1	04	01	H5521_134_0	7	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H5521	139	0	1	04	01	H5521_139_0	8	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H5521	140	0	1	04	01	H5521_140_0	8	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H5521	141	0	1	04	01	H5521_141_0	8	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H5521	144	0	1	04	01	H5521_144_0	9	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	2																																							
H5521	150	0	1	04	01	H5521_150_0	7	2								2							2				1	11	280.00	280.00	325.00	325.00	2	1	2																																							
H5521	154	0	1	04	01	H5521_154_0	8	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H5521	156	0	1	04	01	H5521_156_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H5521	157	0	1	04	01	H5521_157_0	10	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	2																																							
H5521	159	0	1	04	01	H5521_159_0	9	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H5521	160	0	1	04	01	H5521_160_0	10	2								2							2				1	11	285.00	285.00	285.00	285.00	2	1	2																																							
H5521	168	0	1	04	01	H5521_168_0	8	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H5521	169	0	1	04	01	H5521_169_0	8	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H5521	170	0	1	04	01	H5521_170_0	9	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H5521	171	0	1	04	01	H5521_171_0	7	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H5521	178	0	1	04	01	H5521_178_0	7	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	2																																							
H5521	184	0	1	04	01	H5521_184_0	7	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H5521	190	0	1	04	01	H5521_190_0	7	2								2							2				1	11	240.00	240.00	290.00	290.00	2	1	2																																							
H5521	194	0	1	04	01	H5521_194_0	7	2								2							2				1	11	250.00	250.00	300.00	300.00	2	1	2																																							
H5521	195	0	1	04	01	H5521_195_0	7	2								2							2				1	11	280.00	280.00	325.00	325.00	2	1	2																																							
H5521	197	0	1	04	01	H5521_197_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5521	207	0	1	04	01	H5521_207_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H5521	211	0	1	04	01	H5521_211_0	7	2								2							2				1	11	260.00	260.00	310.00	310.00	2	1	2																																							
H5521	214	0	1	04	01	H5521_214_0	7	2								2							2				1	11	255.00	255.00	335.00	335.00	2	1	2																																							
H5521	215	0	1	04	01	H5521_215_0	8	2								2							2				1	11	285.00	285.00	285.00	285.00	2	1	2																																							
H5521	216	0	1	04	01	H5521_216_0	7	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H5521	217	0	1	04	01	H5521_217_0	7	2								2							2				1	11	275.00	275.00	350.00	350.00	2	1	2																																							
H5521	218	0	1	04	01	H5521_218_0	6	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	2																																							
H5521	219	0	1	04	01	H5521_219_0	7	2								2							2				1	11	285.00	285.00	330.00	330.00	2	1	2																																							
H5521	220	0	1	04	01	H5521_220_0	6	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	2																																							
H5521	222	0	1	04	01	H5521_222_0	7	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H5521	223	0	1	04	01	H5521_223_0	7	2								2							2				1	11	285.00	285.00	375.00	375.00	2	1	2																																							
H5521	224	0	1	04	01	H5521_224_0	7	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H5521	226	0	1	04	01	H5521_226_0	7	2								2							2				1	11	300.00	300.00	375.00	375.00	2	1	2																																							
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H5521	229	0	1	04	01	H5521_229_0	4	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H5521	230	0	1	04	01	H5521_230_0	7	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	2																																							
H5521	231	0	1	04	01	H5521_231_0	7	2								2							2				1	11	295.00	295.00	345.00	345.00	2	1	2																																							
H5521	232	0	1	04	01	H5521_232_0	6	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	2																																							
H5521	233	0	1	04	01	H5521_233_0	7	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	2																																							
H5521	234	0	1	04	01	H5521_234_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H5521	235	0	1	04	01	H5521_235_0	3	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H5521	236	0	1	04	01	H5521_236_0	8	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H5521	241	0	1	04	01	H5521_241_0	4	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	48	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H5521	243	0	1	04	01	H5521_243_0	8	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H5521	245	0	1	04	01	H5521_245_0	9	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H5521	246	0	1	04	01	H5521_246_0	7	2								2							2				1	11	280.00	280.00	280.00	280.00	2	1	2																																							
H5521	247	0	1	04	01	H5521_247_0	8	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H5521	249	0	1	04	01	H5521_249_0	8	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H5521	250	0	1	04	01	H5521_250_0	7	2								2							2				1	11	245.00	245.00	245.00	245.00	2	1	2																																							
H5521	251	0	1	04	01	H5521_251_0	8	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H5521	254	0	1	04	01	H5521_254_0	8	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H5521	259	0	1	04	01	H5521_259_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H5521	260	0	1	04	01	H5521_260_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H5521	261	0	1	04	01	H5521_261_0	6	2								2							2				1	11	225.00	225.00	325.00	325.00	1	1	1	1	2	2	6	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H5521	262	0	1	04	01	H5521_262_0	6	2								2							2				1	11	275.00	275.00	375.00	375.00	1	1	2																																							
H5521	263	0	1	04	01	H5521_263_0	6	2								2							2				1	11	265.00	265.00	365.00	365.00	1	1	2																																							
H5521	266	0	1	04	01	H5521_266_0	7	2								2							2				1	11	240.00	240.00	240.00	240.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H5521	268	0	1	04	01	H5521_268_0	7	2								1	10			20	20	2	2				1	01	235.00	235.00			2	1	2																																							
H5521	269	0	1	04	01	H5521_269_0	7	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H5521	270	0	1	04	01	H5521_270_0	7	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H5521	271	0	1	04	01	H5521_271_0	7	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	2																																							
H5521	272	0	1	04	01	H5521_272_0	7	2								1	10			20	20	2	2				1	01	245.00	245.00			2	1	2																																							
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H5522	831	0	1	04	01	H5522_831_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5522	832	0	1	04	01	H5522_832_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5522	833	0	1	04	01	H5522_833_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5522	834	0	2	04	01	H5522_834_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5522	835	0	1	04	01	H5522_835_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5522	836	0	1	04	01	H5522_836_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5525	004	0	1	04	01	H5525_004_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5525	005	0	1	04	01	H5525_005_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5525	006	0	1	04	01	H5525_006_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5525	008	0	1	04	01	H5525_008_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5525	017	0	1	04	01	H5525_017_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5525	024	0	1	04	01	H5525_024_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5525	026	0	1	04	01	H5525_026_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5525	027	0	1	04	01	H5525_027_0	5	2								2							2				1	11	300.00	300.00	1250.00	1250.00	2	1	2																																							
H5525	030	0	1	04	01	H5525_030_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5525	031	0	1	04	01	H5525_031_0	5	2								2							2				1	11	290.00	290.00	1250.00	1250.00	2	1	2																																							
H5525	034	0	1	04	01	H5525_034_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5525	035	0	1	04	01	H5525_035_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5525	036	0	1	04	01	H5525_036_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	48	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5525	041	0	1	04	01	H5525_041_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	60	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5525	042	0	1	04	01	H5525_042_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5525	044	0	1	04	01	H5525_044_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5525	045	0	1	04	01	H5525_045_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	48	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5525	046	0	1	04	01	H5525_046_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	100	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5525	049	0	1	04	01	H5525_049_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle.											2				2				2			2		1	0.00	0.00	1	2
H5525	050	0	1	04	01	H5525_050_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5525	051	1	1	04	01	H5525_051_1	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5525	051	2	1	04	01	H5525_051_2	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5525	052	0	1	04	01	H5525_052_0	5	2								2							2				1	11	300.00	300.00	1250.00	1250.00	2	1	2																																							
H5525	053	0	1	04	01	H5525_053_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5525	054	0	1	04	01	H5525_054_0	5	2								2							2				1	11	300.00	300.00	1250.00	1250.00	2	1	2																																							
H5525	055	0	1	04	01	H5525_055_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5525	056	0	1	04	01	H5525_056_0	5	2								1	10			20	20	2	2				1	01	290.00	290.00			2	1	2																																							
H5525	057	0	1	04	01	H5525_057_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5525	058	0	1	04	01	H5525_058_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5525	059	0	1	04	01	H5525_059_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5525	060	0	1	04	01	H5525_060_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5525	061	0	1	04	01	H5525_061_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5525	062	0	1	04	01	H5525_062_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5525	063	0	1	04	01	H5525_063_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5525	064	0	1	04	01	H5525_064_0	3	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	48	3		1			101010	Services arranged by the plan's transportation provider to approved locations by means of car, van, or wheelchair access vehicle that provide members access to health benefits.											2				2				2			2		1	0.00	0.00	1	2
H5525	065	0	1	04	01	H5525_065_0	4	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5525	067	0	1	04	01	H5525_067_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5525	068	0	1	04	01	H5525_068_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5525	069	0	1	04	01	H5525_069_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5525	070	0	1	04	01	H5525_070_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	36	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		2			1	2
H5525	071	0	1	04	01	H5525_071_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5525	072	0	1	04	01	H5525_072_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	48	3		1			101010	Car, wheelchair access vehicle.											2				2				2			2		1	0.00	0.00	1	2
H5525	073	0	1	04	01	H5525_073_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	48	3		1			100010	Services arranged by the plan's transportation provider to approved locations by means of car, van, or wheelchair access.											2				2				2			2		1	0.00	0.00	1	2
H5525	074	0	1	04	01	H5525_074_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5525	075	0	1	04	01	H5525_075_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5525	076	0	1	04	01	H5525_076_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5525	077	0	1	04	01	H5525_077_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5525	078	0	1	04	01	H5525_078_0	4	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5525	079	0	1	04	01	H5525_079_0	3	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5525	080	0	1	04	01	H5525_080_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5525	809	0	1	04	01	H5525_809_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5525	810	0	1	04	01	H5525_810_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5525	812	0	2	04	01	H5525_812_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5525	813	0	2	04	01	H5525_813_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5525	816	0	1	04	01	H5525_816_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5525	817	0	1	04	01	H5525_817_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5525	818	0	1	04	01	H5525_818_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5525	819	0	1	04	01	H5525_819_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5525	826	0	1	04	01	H5525_826_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5525	827	0	1	04	01	H5525_827_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5525	830	0	1	04	01	H5525_830_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5525	831	0	1	04	01	H5525_831_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5526	004	0	1	04	01	H5526_004_0	8	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	2																																							
H5526	016	0	1	04	01	H5526_016_0	8	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5526	018	0	1	04	01	H5526_018_0	8	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	2																																							
H5526	020	0	1	04	01	H5526_020_0	11	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5526	021	0	1	04	01	H5526_021_0	9	2								2							2				1	11	310.00	310.00	310.00	310.00	2	1	2																																							
H5526	022	0	1	04	01	H5526_022_0	7	2								2							2				1	11	305.00	305.00	305.00	305.00	2	1	2																																							
H5526	023	0	1	04	01	H5526_023_0	6	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	2																																							
H5526	024	0	1	04	01	H5526_024_0	6	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	2																																							
H5526	806	0	1	04	01	H5526_806_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5526	808	0	1	04	01	H5526_808_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5526	813	0	1	04	01	H5526_813_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5528	807	0	1	04	01	H5528_807_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5528	815	0	1	04	01	H5528_815_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5533	003	0	1	04	01	H5533_003_0	9	2								2							2				2							1	2																																							
H5533	005	0	1	04	01	H5533_005_0	10	2								2							2				1	11	50.00	270.00	270.00	270.00	2	1	2																																							
H5533	008	0	1	04	01	H5533_008_0	9	2								2							2				1	11	50.00	305.00	305.00	305.00	2	1	2																																							
H5533	009	0	1	04	01	H5533_009_0	10	2								2							2				1	11	50.00	305.00	305.00	305.00	2	1	2																																							
H5533	011	0	1	04	01	H5533_011_0	10	2								2							2				1	11	50.00	305.00	305.00	305.00	2	1	2																																							
H5533	012	0	1	04	01	H5533_012_0	9	2								1	11	0	20	20	20	2	2				2							1	1	1	2	2	24	3		1			100011	Other modes of transportation include wheelchair vans as well as vehicles that are contracted with various vendors.											2				2				2			2		2			1	2
H5533	013	0	1	04	01	H5533_013_0	10	2								2							2				1	11	50.00	290.00	290.00	290.00	2	1	2																																							
H5533	015	1	1	04	01	H5533_015_1	11	2								2							2				1	11	50.00	290.00	290.00	290.00	2	1	2																																							
H5533	015	2	1	04	01	H5533_015_2	11	2								2							2				1	11	50.00	290.00	290.00	290.00	2	1	2																																							
H5533	801	0	1	04	01	H5533_801_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5533	802	0	1	04	01	H5533_802_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5533	803	0	1	04	01	H5533_803_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5538	001	0	1	20	08	H5538_001_0	1																																																																			
H5538	002	0	1	20	08	H5538_002_0	1																																																																			
H5549	003	0	1	01	01	H5549_003_0	11	2								2							2				2							1	2																																							
H5549	011	0	1	01	01	H5549_011_0	10	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	7	3		2			011111												1	100.00	6	Maximum $100 per round-trip transportation to plan approved locations.	2				2			2		2			1	2
H5549	012	0	1	01	01	H5549_012_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	11	3		2			011111												1	100.00	6	Maximum $100 per round-trip transportation to plan approved locations.	2				2			2		2			1	2
H5577	002	0	1	01	01	H5577_002_0	7	2								2							2				2							1	1	1	2	2	38	3		1			100001	Fleet includes sedans, minivans, buses with hydraulic ramps.											2				2				2			2		2			2	2
H5577	005	0	1	01	01	H5577_005_0	7	2								2							2				2							1	1	1	2	2	26	3		1			000001												2				2				2			2		2			2	2
H5577	008	0	1	02	01	H5577_008_0	5	2								2							2				2							1	1	1	2	2	34	3		1			000001												2				2				2			2		2			2	2
H5577	016	0	1	01	01	H5577_016_0	6	2								2							2				2							1	1	1	2	2	68	3		1			000001												2				2				2			2		2			2	2
H5577	017	0	1	01	01	H5577_017_0	5	2								2							2				2							1	1	1	2	2	44	3		1			100001	Fleet includes sedans, minivans, buses with hydraulic ramps.											2				2				2			2		2			2	2
H5577	029	0	1	01	01	H5577_029_0	6	2								2							2				2							1	1	1	2	2	34	3		1			100001	Fleet includes sedans, minivans, buses with hydraulic ramps.											2				2				2			2		2			2	2
H5577	038	0	1	01	01	H5577_038_0	6	2								2							2				2							1	1	1	2	2	32	3		1			000001												2				2				2			2		2			2	2
H5577	042	0	1	01	01	H5577_042_0	6	2								2							2				2							1	1	1	2	2	40	3		1			000001												2				2				2			2		2			2	2
H5577	043	0	1	01	01	H5577_043_0	6	2								2							2				2							1	1	1	2	2	16	3		1			000001												2				2				2			2		2			2	2
H5577	044	0	1	01	01	H5577_044_0	6	2								2							2				2							1	1	1	2	2	78	3		1			000001												2				2				2			2		2			2	2
H5577	046	0	1	01	01	H5577_046_0	5	2								2							2				2							1	1	1	2	2	30	3		1			100001	Fleet includes sedans, minivans, buses with hydraulic ramps.											2				2				2			2		2			2	2
H5577	051	0	1	01	01	H5577_051_0	5	2								2							2				2							1	1	1	2	1				1			001001												1	600.00	3		2				2			2		2			2	2
H5577	052	0	1	01	01	H5577_052_0	6	2								2							2				2							1	1	1	2	2	50	3		1			000001												2				2				2			2		2			2	2
H5577	053	0	1	01	01	H5577_053_0	5	2								2							2				2							1	1	1	2	2	36	3		1			000001												2				2				2			2		2			2	2
H5577	054	1	1	01	01	H5577_054_1	4	2								2							2				2							1	1	1	2	2	18	3		1			100001	Fleet includes sedans, minivans, buses with hydraulic ramps.											2				2				2			2		2			2	2
H5577	054	2	1	01	01	H5577_054_2	4	2								2							2				2							1	1	1	2	2	18	3		1			100001	Fleet includes sedans, minivans, buses with hydraulic ramps.											2				2				2			2		2			2	2
H5577	054	3	1	01	01	H5577_054_3	4	2								2							2				2							1	1	1	2	2	18	3		1			100001	Fleet includes sedans, minivans, buses with hydraulic ramps.											2				2				2			2		2			2	2
H5577	055	0	1	01	01	H5577_055_0	4	2								2							2				2							1	1	1	2	2	18	3		1			100001	Fleet includes sedans, minivans, buses with hydraulic ramps.											2				2				2			2		2			2	2
H5577	056	1	1	01	01	H5577_056_1	5	2								2							2				2							1	1	1	2	2	12	3		1			000001												2				2				2			2		2			2	2
H5577	056	2	1	01	01	H5577_056_2	5	2								2							2				2							1	1	1	2	2	12	3		1			000001												2				2				2			2		2			2	2
H5577	057	0	1	01	01	H5577_057_0	6	2								2							2				2							1	1	1	2	2	12	3		1			000001												2				2				2			2		2			2	2
H5577	801	0	1	01	01	H5577_801_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5577	802	0	1	01	01	H5577_802_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5577	809	0	1	01	01	H5577_809_0	1	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5577	818	0	1	01	01	H5577_818_0	1	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5577	820	0	1	01	01	H5577_820_0	1	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5577	821	0	1	01	01	H5577_821_0	1	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5577	822	0	1	01	01	H5577_822_0	1	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5577	824	0	1	01	01	H5577_824_0	1	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5577	827	0	1	01	01	H5577_827_0	1	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5577	829	0	1	01	01	H5577_829_0	1	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5577	830	0	1	01	01	H5577_830_0	1	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5577	831	0	1	01	01	H5577_831_0	1	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5580	001	0	1	01	01	H5580_001_0	3	2								1	11	20	20	20	20	2	2				2							2	1	1	2	2	42	3		1			000010												2				2				2			2		2			1	2
H5580	004	0	1	01	01	H5580_004_0	3	2								1	11	20	20	20	20	2	2				2							2	1	1	2	2	42	3		1			000010												2				2				2			2		2			1	2
H5580	005	0	1	01	01	H5580_005_0	3	2								1	11	20	20	20	20	2	2				2							2	1	1	2	2	42	3		1			000010												2				2				2			2		2			1	2
H5587	002	0	1	01	01	H5587_002_0	19	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000011												2				2				2			2		2			2	2
H5590	008	0	1	01	01	H5590_008_0	18	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H5590	009	0	1	01	01	H5590_009_0	18	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H5591	003	0	1	01	01	H5591_003_0	4	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H5591	005	0	1	02	01	H5591_005_0	6	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H5591	006	1	1	02	01	H5591_006_1	6	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H5591	006	2	1	02	01	H5591_006_2	6	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H5591	006	4	1	02	01	H5591_006_4	6	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H5591	006	5	1	02	01	H5591_006_5	6	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H5591	009	0	1	02	01	H5591_009_0	6	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H5591	013	0	1	02	01	H5591_013_0	6	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H5591	015	1	1	02	01	H5591_015_1	6	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H5591	015	2	1	02	01	H5591_015_2	6	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H5591	801	0	1	02	01	H5591_801_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5591	802	0	1	02	01	H5591_802_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5593	001	0	1	01	01	H5593_001_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	50	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H5593	801	0	1	01	01	H5593_801_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5593	802	0	1	01	01	H5593_802_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5594	001	0	1	01	01	H5594_001_0	6	2								1	10			20	20	2	2				1	01	175.00	175.00			2	1	1	1	2	2	20	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H5594	002	0	1	01	01	H5594_002_0	6	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	1				1			011111												2				2				2			2		1	0.00	0.00	2	2
H5594	016	0	1	01	01	H5594_016_0	8	2								2							2				1	11	0.00	0.00	0.00	0.00	2	1	1	1	2	1				1			011111												2				2				2			2		1	0.00	0.00	2	2
H5594	017	0	1	01	01	H5594_017_0	8	2								2							2				1	11	0.00	0.00	0.00	0.00	2	1	1	1	2	1				1			011111												2				2				2			2		1	0.00	0.00	2	2
H5594	019	0	1	01	01	H5594_019_0	6	2								1	10			20	20	2	2				1	01	175.00	175.00			2	1	1	1	2	2	8	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H5594	022	0	1	01	01	H5594_022_0	7	2								1	10			20	20	2	2				1	01	175.00	175.00			2	1	1	1	2	2	6	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H5594	026	0	1	01	01	H5594_026_0	6	2								1	10			20	20	2	2				1	01	175.00	175.00			2	1	1	1	2	2	6	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H5594	028	0	1	01	01	H5594_028_0	6	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	1				1			011111												2				2				2			2		1	0.00	0.00	2	2
H5594	029	0	1	01	01	H5594_029_0	6	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	1				1			011111												2				2				2			2		1	0.00	0.00	2	2
H5594	030	0	1	01	01	H5594_030_0	6	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	2	4	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H5594	031	0	1	01	01	H5594_031_0	6	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	2	4	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H5594	032	0	1	01	01	H5594_032_0	6	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	2	20	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H5594	034	0	1	01	01	H5594_034_0	6	2								1	10			20	20	2	2				1	01	175.00	175.00			2	1	1	1	2	2	4	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H5594	035	0	1	01	01	H5594_035_0	6	2								1	10			20	20	2	2				1	01	175.00	175.00			2	1	1	1	2	2	4	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H5594	036	0	1	01	01	H5594_036_0	6	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	1				1			011111												2				2				2			2		1	0.00	0.00	2	2
H5599	001	0	1	01	01	H5599_001_0	16	2								1	11	20	20	20	20	1	2				2							1	1	1	2	2	10	3		1			010010												2				2				2			2		1	0.00	0.00	1	2
H5599	002	0	1	02	01	H5599_002_0	6	2								2							2				1	11	310.00	310.00	310.00	310.00	1	1	1	1	2	1				1			010010												2				2				2			2		1	0.00	0.00	2	2
H5599	003	0	1	01	01	H5599_003_0	16	2								1	11	20	20	20	20	1	2				2							1	1	1	2	2	10	3		1			010010												2				2				2			2		1	0.00	0.00	1	2
H5599	004	0	1	01	01	H5599_004_0	16	2								2							2				1	11	350.00	350.00	350.00	350.00	1	1	2																																							
H5599	008	0	1	01	01	H5599_008_0	16	2								1	11	20	20	20	20	1	2				2							1	1	1	2	2	10	3		1			010010												2				2				2			2		1	0.00	0.00	1	2
H5608	001	0	1	01	01	H5608_001_0	9	2								1	11	20	20	20	20	1	2				2							1	1	1	2	1				2			010010												2				2				2			2		2			2	2
H5608	002	0	1	01	01	H5608_002_0	9	2								2							2				1	11	250.00	250.00	250.00	250.00	1	1	1	1	2	1				2			010010												2				2				2			2		2			2	2
H5610	001	0	1	20	08	H5610_001_0	1																																																																			
H5610	003	0	1	20	08	H5610_003_0	1																																																																			
H5619	001	0	1	01	01	H5619_001_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5619	003	0	1	01	01	H5619_003_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	48	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5619	012	0	1	01	01	H5619_012_0	8	2								1	10			20	20	2	2				1	01	265.00	265.00			2	1	2																																							
H5619	015	0	1	01	01	H5619_015_0	5	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	2																																							
H5619	016	0	1	01	01	H5619_016_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	2	24	3		1			100010	Services arranged by the plan's transportation provider to approved locations via car, van, or wheelchair access vehicle that provide members access to health benefits. not to exceed 25 miles/trip.											2				2				2			2		1	0.00	0.00	1	2
H5619	021	0	1	01	01	H5619_021_0	5	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	2	36	3		1			100010	Svcs arranged by transportation provider to approved locations by means of car, van, or wheelchair access vehicle that provide members access to health benefits. Benefit not to exceed 50 mi per trip.											2				2				2			2		1	0.00	0.00	1	2
H5619	026	0	1	01	01	H5619_026_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5619	029	0	1	01	01	H5619_029_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5619	032	0	1	01	01	H5619_032_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5619	038	0	1	01	01	H5619_038_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			100010	$0 copayment for plan approved location up to 24 one-way trip(s) per year by car, van, wheelchair access vehicle. This benefit is not to exceed 50 miles per trip.											2				2				2			2		1	0.00	0.00	1	2
H5619	039	1	1	01	01	H5619_039_1	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5619	039	2	1	01	01	H5619_039_2	5	2								1	10			20	20	2	2				1	01	265.00	265.00			2	1	1	1	2	2	24	3		1			100010	Services arranged by plan's transportation provider to approved locations by means of car, van, or wheelchair access vehicle that provide members access to health benefits.											2				2				2			2		1	0.00	0.00	1	2
H5619	046	0	1	01	01	H5619_046_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	36	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5619	047	0	1	01	01	H5619_047_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5619	049	0	1	02	01	H5619_049_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5619	051	0	1	02	01	H5619_051_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5619	053	0	1	02	01	H5619_053_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	60	3		1			101010	car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5619	054	0	1	02	01	H5619_054_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	1				1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5619	055	0	1	01	01	H5619_055_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5619	056	0	1	01	01	H5619_056_0	5	2								2							2				1	11	300.00	300.00	1250.00	1250.00	2	1	2																																							
H5619	057	0	1	01	01	H5619_057_0	8	2								2							2				1	11	300.00	300.00	1250.00	1250.00	2	1	2																																							
H5619	059	0	1	01	01	H5619_059_0	5	2								2							2				1	11	300.00	300.00	1250.00	1250.00	2	1	2																																							
H5619	060	0	1	01	01	H5619_060_0	5	2								2							2				1	11	300.00	300.00	1250.00	1250.00	2	1	2																																							
H5619	061	0	1	01	01	H5619_061_0	5	2								2							2				1	11	300.00	300.00	1250.00	1250.00	2	1	2																																							
H5619	063	0	1	01	01	H5619_063_0	5	2								2							2				1	11	300.00	300.00	1250.00	1250.00	2	1	2																																							
H5619	065	0	1	01	01	H5619_065_0	8	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			101010	Services arranged by the plan's transportation provider to approved locations by means of car, van, or wheelchair access vehicle that provide members access to health benefits. This benefit is not to											2				2				2			2		1	0.00	0.00	1	2
H5619	066	0	1	01	01	H5619_066_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5619	069	0	1	02	01	H5619_069_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5619	071	0	1	01	01	H5619_071_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5619	075	0	1	01	01	H5619_075_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5619	077	0	1	01	01	H5619_077_0	5	2								2							2				1	11	300.00	300.00	1250.00	1250.00	2	1	2																																							
H5619	082	0	1	01	01	H5619_082_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	1				1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5619	083	0	1	01	01	H5619_083_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			100010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5619	089	0	1	01	01	H5619_089_0	7	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5619	090	0	1	01	01	H5619_090_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5619	091	0	1	01	01	H5619_091_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5619	093	0	1	01	01	H5619_093_0	5	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	1				1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	2	2
H5619	095	0	1	01	01	H5619_095_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5619	100	0	1	01	01	H5619_100_0	7	2								2							2				1	11	300.00	300.00	1250.00	1250.00	2	1	2																																							
H5619	111	0	1	02	01	H5619_111_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5619	113	0	1	02	01	H5619_113_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5619	114	0	1	01	01	H5619_114_0	5	2								2							2				1	11	300.00	300.00	1250.00	1250.00	2	1	2																																							
H5619	116	0	1	01	01	H5619_116_0	4	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	2																																							
H5619	119	0	1	01	01	H5619_119_0	4	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	2																																							
H5619	121	0	1	01	01	H5619_121_0	3	2								1	10			20	20	2	2				1	01	265.00	265.00			2	1	2																																							
H5619	122	0	1	01	01	H5619_122_0	6	2								1	10			20	20	2	2				1	01	265.00	265.00			2	1	2																																							
H5619	123	0	1	02	01	H5619_123_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	2	48	3		1			101010	car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5619	126	0	1	02	01	H5619_126_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5619	128	0	1	01	01	H5619_128_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5619	130	1	1	01	01	H5619_130_1	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5619	130	2	1	01	01	H5619_130_2	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5619	131	0	1	01	01	H5619_131_0	4	2								1	10			20	20	2	2				1	01	195.00	195.00			2	1	1	1	2	2	24	3		1			100010	Services arranged by plan's transportation provider to approved locations by means of car, van, or wheelchair access vehicle that provide members access to health benefits.											2				2				2			2		1	0.00	0.00	1	2
H5619	133	0	1	01	01	H5619_133_0	5	2								2							2				1	11	300.00	300.00	1250.00	1250.00	2	1	2																																							
H5619	134	0	1	01	01	H5619_134_0	7	2								2							2				1	11	300.00	300.00	1250.00	1250.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5619	135	0	1	01	01	H5619_135_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5619	136	1	1	01	01	H5619_136_1	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5619	136	2	1	01	01	H5619_136_2	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5619	136	3	1	01	01	H5619_136_3	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5619	136	4	1	01	01	H5619_136_4	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5619	137	0	1	01	01	H5619_137_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5619	138	0	1	01	01	H5619_138_0	4	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	2	24	3		1			100010	Services arranged by plan's transportation provider to approved locations by means of car, van, or wheelchair access vehicle that provide members access to health benefits.											2				2				2			2		1	0.00	0.00	1	2
H5619	143	0	1	01	01	H5619_143_0	5	2								2							2				1	11	300.00	300.00	1250.00	1250.00	2	1	2																																							
H5619	145	0	1	01	01	H5619_145_0	8	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	48	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5619	146	0	1	01	01	H5619_146_0	4	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	2																																							
H5619	147	0	1	01	01	H5619_147_0	4	2								1	10			20	20	2	2				1	01	225.00	225.00			2	1	2																																							
H5619	148	0	1	01	01	H5619_148_0	4	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	2	48	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5619	150	0	1	01	01	H5619_150_0	4	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5619	151	0	1	01	01	H5619_151_0	4	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H5619	152	0	1	01	01	H5619_152_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5619	153	0	1	01	01	H5619_153_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	48	3		1			100010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5619	154	0	1	01	01	H5619_154_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5619	155	0	1	01	01	H5619_155_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	2	48	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5619	156	0	1	02	01	H5619_156_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5619	157	0	1	01	01	H5619_157_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	2	2
H5619	158	0	1	02	01	H5619_158_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	1				1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5619	159	0	1	01	01	H5619_159_0	4	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			100010	Services arranged by plan's transportation provider to approved locations by means of car, van, or wheelchair access vehicle that provide members access to health benefits.											2				2				2			2		1	0.00	0.00	1	2
H5619	160	0	1	01	01	H5619_160_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5619	161	0	1	01	01	H5619_161_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	36	3		1			100010	By means of car, van, or wheelchair access vehicle that provide members access to health benefits. This benefit is not to exceed 50 miles per trip.											2				2				2			2		1	0.00	0.00	1	2
H5619	162	0	1	02	01	H5619_162_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	60	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5619	163	0	1	01	01	H5619_163_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	1				1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5619	164	0	1	01	01	H5619_164_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5619	802	0	1	01	01	H5619_802_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5619	803	0	1	01	01	H5619_803_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5619	805	0	1	01	01	H5619_805_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5619	806	0	1	01	01	H5619_806_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5622	001	0	1	20	08	H5622_001_0	1																																																																			
H5622	002	0	1	20	08	H5622_002_0	1																																																																			
H5628	001	0	1	01	01	H5628_001_0	4	2								1	11	20	20	20	20	2	2				2							1	1	2											2	1				1			011111		1	300.00	5		2				2			2		2			2	2
H5628	007	0	1	01	01	H5628_007_0	5	2								1	11	20	20	20	20	2	2				2							1	1	2											2	1				1			011111		2				2				2			2		2			2	2
H5628	008	0	1	01	01	H5628_008_0	4	2								1	11	20	20	20	20	2	2				2							1	1	2											2	1				1			011111		2				2				2			2		2			2	2
H5628	010	0	1	01	01	H5628_010_0	5	2								1	11	20	20	20	20	2	2				2							1	1	2											2	1				1			011111		2				2				2			2		2			2	2
H5628	011	0	1	01	01	H5628_011_0	4	2								1	11	20	20	20	20	2	2				2							1	1	2											2	1				1			011111		2				2				2			2		2			2	2
H5628	012	0	1	01	01	H5628_012_0	4	2								1	11	20	20	20	20	2	2				2							1	1	2											2	1				1			011111		2				2				2			2		2			2	2
H5629	001	0	1	20	08	H5629_001_0	1																																																																			
H5629	002	0	1	20	08	H5629_002_0	2																																																																			
H5644	801	0	1	01	01	H5644_801_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5644	802	0	1	01	01	H5644_802_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5644	803	0	1	01	01	H5644_803_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5649	001	0	1	01	01	H5649_001_0	7	2								1	10			20	20	2	2				1	01	0.00	100.00			2	1	1	1	2	2	24	3		1			011011												2				2				2			2		1	0.00	0.00	1	1
H5649	002	0	1	01	01	H5649_002_0	7	2								2							2				1	11	0.00	0.00	0.00	0.00	2	1	1	1	2	2	24	3		1			011011												2				2				2			2		1	0.00	0.00	1	1
H5649	006	0	1	01	01	H5649_006_0	7	2								1	10			20	20	2	2				1	01	0.00	100.00			2	1	1	1	2	2	24	3		1			011011												2				2				2			2		1	0.00	0.00	1	1
H5649	008	0	1	01	01	H5649_008_0	8	2								1	10			20	20	2	2				1	01	0.00	225.00			2	1	1	1	2	2	24	3		1			011011												2				2				2			2		1	0.00	0.00	1	1
H5649	009	0	1	01	01	H5649_009_0	7	2								2							2				1	11	0.00	0.00	0.00	0.00	2	1	1	1	2	2	24	3		1			011011												2				2				2			2		1	0.00	0.00	1	1
H5649	018	0	1	01	01	H5649_018_0	8	2								1	10			20	20	2	2				1	01	0.00	250.00			2	1	1	1	2	2	24	3		1			011011												2				2				2			2		1	0.00	0.00	1	1
H5649	019	0	1	01	01	H5649_019_0	8	2								1	10			20	20	2	2				1	01	0.00	150.00			2	1	1	1	2	2	24	3		1			011011												2				2				2			2		1	0.00	0.00	1	1
H5649	020	1	1	01	01	H5649_020_1	9	2								1	10			20	20	2	2				1	01	0.00	150.00			2	1	1	1	2	2	24	3		1			011011												2				2				2			2		1	0.00	0.00	1	1
H5649	020	2	1	01	01	H5649_020_2	8	2								1	10			20	20	2	2				1	01	0.00	150.00			2	1	1	1	2	2	48	3		1			011011												2				2				2			2		1	0.00	0.00	1	1
H5649	021	1	1	01	01	H5649_021_1	8	2								1	10			20	20	2	2				1	01	0.00	75.00			2	1	1	1	2	2	48	3		1			011011												2				2				2			2		1	0.00	0.00	1	1
H5649	021	2	1	01	01	H5649_021_2	8	2								1	10			20	20	2	2				1	01	0.00	150.00			2	1	1	1	2	2	48	3		1			011011												2				2				2			2		1	0.00	0.00	1	1
H5652	001	0	1	02	01	H5652_001_0	5	2								2							2				1	11	175.00	175.00	175.00	175.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H5652	002	0	1	02	01	H5652_002_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H5652	003	0	1	02	01	H5652_003_0	5	2								2							2				1	11	0.00	0.00	0.00	0.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H5652	004	0	1	02	01	H5652_004_0	5	2								2							2				1	11	175.00	175.00	175.00	175.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H5652	006	0	1	02	01	H5652_006_0	5	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H5652	008	0	1	02	01	H5652_008_0	5	2								2							2				1	11	245.00	245.00	245.00	245.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H5703	001	0	1	01	01	H5703_001_0	10	2								1	11	20	20	20	20	2	2				2							2	2																																							
H5774	003	0	1	01	01	H5774_003_0	4	2								2							2				2							1	1	2											2	2	12	3		1			110010	Other methods of transportation are available, such as an automobile through a contracted provider.	2				2				2			2		2			2	2
H5774	005	0	1	01	01	H5774_005_0	5	2								2							2				2							1	1	2											2	2	30	3		1			110010	Other methods of transportation are available, such as an automobile through a contracted provider.	2				2				2			2		2			2	2
H5774	022	0	1	01	01	H5774_022_0	5	2								2							2				2							1	1	2											2	2	60	3		1			110010	Other methods of transportation are available, such as an automobile through a contracted provider.	2				2				2			2		2			2	2
H5774	024	0	1	01	01	H5774_024_0	5	2								2							2				2							1	1	2											2	2	30	3		1			110010	Other methods of transportation are available, such as an automobile through a contracted provider.	2				2				2			2		2			2	2
H5774	026	0	1	01	01	H5774_026_0	4	2								2							2				2							1	1	2											2	2	12	3		1			110010	Other methods of transportation are available, such as an automobile through a contracted provider.	2				2				2			2		2			2	2
H5774	027	0	1	02	01	H5774_027_0	5	2								2							2				2							1	1	2											2	2	18	3		1			110010	Other methods of transportation are available, such as an automobile through a contracted provider.	2				2				2			2		2			1	2
H5774	028	0	1	01	01	H5774_028_0	5	2								2							2				2							1	1	2											2	2	12	3		1			110010	Other methods of transportation are available, such as an automobile through a contracted provider.	2				2				2			2		2			2	2
H5774	031	0	1	02	01	H5774_031_0	5	2								2							2				2							1	1	2											2	2	24	3		1			110010	Other methods of transportation are available, such as an automobile through a contracted provider.	2				2				2			2		2			1	2
H5774	035	0	1	01	01	H5774_035_0	5	2								2							2				2							1	2																																							
H5774	036	0	1	01	01	H5774_036_0	5	2								2							2				2							1	1	2											2	2	50	3		1			110010	Other methods of transportation are available, such as an automobile through a contracted provider.	2				2				2			2		2			2	2
H5774	037	0	1	01	01	H5774_037_0	6	2								2							2				2							1	1	2											2	2	30	3		1			110010	Other methods of transportation are available, such as an automobile through a contracted provider.	2				2				2			2		2			2	2
H5774	038	0	1	01	01	H5774_038_0	5	2								2							2				2							1	2																																							
H5774	040	0	1	01	01	H5774_040_0	4	2								2							2				2							1	1	2											2	2	18	3		1			110010	Other methods of transportation are available, such as an automobile through a contracted provider.	2				2				2			2		2			2	2
H5774	802	0	1	01	01	H5774_802_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5774	806	0	1	01	01	H5774_806_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5774	808	0	1	01	01	H5774_808_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5774	809	0	1	02	01	H5774_809_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5774	810	0	1	01	01	H5774_810_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5774	811	0	1	02	01	H5774_811_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5774	812	0	1	02	01	H5774_812_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5774	814	0	1	02	01	H5774_814_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5774	816	0	1	02	01	H5774_816_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5774	818	0	1	02	01	H5774_818_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5774	820	0	1	02	01	H5774_820_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5774	821	0	1	02	01	H5774_821_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5774	822	0	1	02	01	H5774_822_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5774	823	0	1	02	01	H5774_823_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5774	824	0	1	02	01	H5774_824_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5774	825	0	1	02	01	H5774_825_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5779	002	0	1	01	01	H5779_002_0	18	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5779	007	0	1	01	01	H5779_007_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H5779	009	0	1	01	01	H5779_009_0	18	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5793	001	0	1	02	01	H5793_001_0	9	2								2							2				1	11	285.00	285.00	285.00	285.00	2	1	2																																							
H5793	010	0	1	02	01	H5793_010_0	10	2								2							2				1	11	285.00	285.00	290.00	290.00	2	1	2																																							
H5793	014	0	1	02	01	H5793_014_0	9	2								2							2				1	11	285.00	285.00	285.00	285.00	2	1	2																																							
H5793	015	0	1	01	01	H5793_015_0	9	2								2							2				1	11	315.00	315.00	315.00	315.00	2	1	2																																							
H5793	016	0	1	02	01	H5793_016_0	9	2								2							2				1	11	280.00	280.00	280.00	280.00	2	1	2																																							
H5793	017	0	1	02	01	H5793_017_0	9	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	30	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H5793	018	0	1	02	01	H5793_018_0	10	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H5793	019	0	1	02	01	H5793_019_0	9	2								2							2				1	11	0.00	0.00	0.00	0.00	2	1	1	1	2	2	48	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H5793	020	0	1	02	01	H5793_020_0	8	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	30	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H5793	801	0	1	01	01	H5793_801_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5793	802	0	1	01	01	H5793_802_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5810	014	0	1	01	01	H5810_014_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			111111	Other transportation could include a sedan, van, taxi, wheelchair lift-equipped vehicle, stretcher van services, or rideshare.											2				2				2			2		2			1	2
H5810	015	0	1	01	01	H5810_015_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5822	001	0	1	20	08	H5822_001_0	2																																																																			
H5822	002	0	1	20	08	H5822_002_0	2																																																																			
H5823	006	0	1	01	01	H5823_006_0	4	2								1	11	20	20	20	20	2	2				2							1	1	2											2	1				1			011111		2				2				2			2		2			2	2
H5823	010	0	1	01	01	H5823_010_0	4	2								1	11	20	20	20	20	2	2				2							1	1	2											2	1				1			011111		2				2				2			2		2			2	2
H5823	012	1	1	01	01	H5823_012_1	7	2								1	11	20	20	20	20	2	2				2							1	1	2											2	1				1			011111		2				2				2			2		2			2	2
H5823	012	2	1	01	01	H5823_012_2	6	2								1	11	20	20	20	20	2	2				2							1	1	2											2	1				1			011111		2				2				2			2		2			2	2
H5826	006	0	1	01	01	H5826_006_0	3	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5826	008	0	1	01	01	H5826_008_0	4	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H5826	009	0	1	01	01	H5826_009_0	4	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H5826	010	0	1	01	01	H5826_010_0	4	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H5826	014	0	1	01	01	H5826_014_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	40	3		1			011010												2				2				2			2		2			1	2
H5826	016	0	1	01	01	H5826_016_0	4	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H5826	017	0	1	01	01	H5826_017_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5828	001	0	1	01	01	H5828_001_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	210	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H5828	002	0	1	01	01	H5828_002_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	156	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H5828	008	0	1	01	01	H5828_008_0	8	2								2							2				1	11	235.00	235.00	235.00	235.00	2	1	1	1	2	2	108	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H5828	012	1	1	02	01	H5828_012_1	8	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H5828	012	2	1	02	01	H5828_012_2	8	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H5828	012	3	1	02	01	H5828_012_3	8	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H5843	001	0	1	01	01	H5843_001_0	8	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	2																																							
H5843	002	0	1	01	01	H5843_002_0	10	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5843	005	0	1	01	01	H5843_005_0	7	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	2																																							
H5852	001	0	1	01	01	H5852_001_0	8	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	2	1				2			011111												2				2				2			2		2			1	2
H5854	008	0	1	01	01	H5854_008_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5854	009	0	1	01	01	H5854_009_0	7	2								1	10			20	20	2	2				1	01	325.00	325.00			2	1	2																																							
H5854	010	0	1	01	01	H5854_010_0	5	2								1	10			20	20	2	2				1	01	325.00	325.00			2	1	2																																							
H5854	011	0	1	01	01	H5854_011_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	2	24	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H5854	012	0	1	02	01	H5854_012_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	80	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H5854	013	0	1	01	01	H5854_013_0	9	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H5854	014	0	1	01	01	H5854_014_0	6	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H5854	801	0	1	01	01	H5854_801_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5854	803	0	1	01	01	H5854_803_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5854	806	0	2	01	01	H5854_806_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5854	807	0	2	01	01	H5854_807_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5854	809	0	1	01	01	H5854_809_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5854	811	0	2	01	01	H5854_811_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5859	001	0	1	02	01	H5859_001_0	9	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5883	001	1	1	02	01	H5883_001_1	3	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	1	2											2	2	1	3		2			000010		2				2				2			2		2			2	2
H5883	001	2	1	02	01	H5883_001_2	3	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	1	2											2	2	1	3		2			000010		2				2				2			2		2			2	2
H5883	001	3	1	02	01	H5883_001_3	3	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	1	2											2	2	1	3		2			000010		2				2				2			2		2			2	2
H5883	001	4	1	02	01	H5883_001_4	3	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	1	2											2	2	1	3		2			000010		2				2				2			2		2			2	2
H5883	001	5	1	02	01	H5883_001_5	3	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	1	1	2	1				4		28	000010												2				2				2			2		2			2	1
H5883	002	1	1	02	01	H5883_002_1	5	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	1	2											2	2	1	3		2			000010		2				2				2			2		2			2	2
H5883	002	2	1	02	01	H5883_002_2	4	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	1	2											2	2	1	3		2			000010		2				2				2			2		2			2	2
H5883	002	3	1	02	01	H5883_002_3	4	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	1	2											2	2	1	3		2			000010		2				2				2			2		2			2	2
H5883	002	4	1	02	01	H5883_002_4	4	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	1	2											2	2	1	3		2			000010		2				2				2			2		2			2	2
H5883	002	7	1	02	01	H5883_002_7	4	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	1	1	2	1				4		28	000010												2				2				2			2		2			2	1
H5883	003	1	1	02	01	H5883_003_1	4	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	1	2											2	2	1	3		2			000010		2				2				2			2		2			2	2
H5883	003	2	1	02	01	H5883_003_2	4	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	1	2											2	2	1	3		2			000010		2				2				2			2		2			2	2
H5883	003	3	1	02	01	H5883_003_3	4	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	1	2											2	2	1	3		2			000010		2				2				2			2		2			2	2
H5883	003	4	1	02	01	H5883_003_4	4	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	1	2											2	2	1	3		2			000010		2				2				2			2		2			2	2
H5883	003	5	1	02	01	H5883_003_5	4	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	1	1	2	1				4		28	000010												2				2				2			2		2			1	2
H5883	007	0	1	01	01	H5883_007_0	4	2								2							2				1	11	230.00	230.00	230.00	230.00	2	2	1	1	2	1				3		28	000010												2				2				2			2		2			2	1
H5883	012	1	1	02	01	H5883_012_1	5	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	1	2											2	2	1	3		2			000010		2				2				2			2		2			2	2
H5883	012	2	1	02	01	H5883_012_2	5	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	1	1	2	1				4		28	000010												2				2				2			2		2			2	1
H5883	014	1	1	02	01	H5883_014_1	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	2	1	2											2	2	1	3		2			000010		2				2				2			2		2			2	2
H5883	014	2	1	02	01	H5883_014_2	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	2	1	2											2	2	1	3		2			000010		2				2				2			2		2			2	2
H5883	014	3	1	02	01	H5883_014_3	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	2	1	2											2	2	1	3		2			000010		2				2				2			2		2			2	2
H5883	014	4	1	02	01	H5883_014_4	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	2	1	2											2	2	1	3		2			000010		2				2				2			2		2			2	2
H5883	014	5	1	02	01	H5883_014_5	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	2	1	1	2	1				4		28	000010												2				2				2			2		2			2	1
H5883	015	0	1	01	01	H5883_015_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	2	1	1	2	1				3		28	000010												2				2				2			2		2			2	1
H5883	801	0	1	02	01	H5883_801_0	2	2								1	11	20	20	20	20	2	2				2							2	2																																							
H5883	805	0	1	02	01	H5883_805_0	2	2								1	11	20	20	20	20	2	2				2							2	2																																							
H5900	001	0	1	04	01	H5900_001_0	10	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5900	002	0	1	04	01	H5900_002_0	10	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	2																																							
H5900	003	0	1	04	01	H5900_003_0	10	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H5900	004	0	1	04	01	H5900_004_0	10	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5900	005	0	1	04	01	H5900_005_0	11	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H5900	006	0	1	04	01	H5900_006_0	8	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H5900	007	0	1	04	01	H5900_007_0	8	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H5900	801	0	1	04	01	H5900_801_0	6	2								1	11	20	20	20	20	2	2				2							2	2																																							
H5900	802	0	1	04	01	H5900_802_0	6	2								1	11	20	20	20	20	2	2				2							2	2																																							
H5902	001	0	1	20	08	H5902_001_0	1																																																																			
H5902	002	0	1	20	08	H5902_002_0	1																																																																			
H5926	001	0	1	01	01	H5926_001_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	30	3		1			111111	Other transportation could include a sedan, van, taxi, wheelchair lift-equipped vehicle, stretcher van services or rideshare.											2				2				2			2		2			1	2
H5926	005	0	1	01	01	H5926_005_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	10	3		1			111111	Other transportation could include a sedan, van, taxi, wheelchair lift-equipped vehicle, stretcher van services or rideshare.											2				2				2			2		2			1	2
H5926	006	0	1	01	01	H5926_006_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			111111	Other transportation could include a sedan, van,taxi, wheelchair lift-equipped vehicle, stretcher van services or rideshare.											2				2				2			2		2			1	2
H5926	007	0	1	01	01	H5926_007_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5928	004	0	1	01	01	H5928_004_0	3	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	1	1	2	2	14	3		1			011011												2				2				2			2		2			2	2
H5928	010	0	1	01	01	H5928_010_0	4	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	1	1	2	2	14	3		1			011011												2				2				2			2		2			2	2
H5932	001	0	1	01	01	H5932_001_0	6	2								1	11	28	28	28	28	2	2				2							1	1	1	2	2	100	3		1			111110	Mileage reimbursement when a personal car is used.											2				2				2			2		2			2	2
H5932	009	0	1	01	01	H5932_009_0	5	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	30	3		1			111110	Mileage reimbursement when a personal car is used.											2				2				2			2		2			2	2
H5932	012	0	1	01	01	H5932_012_0	6	2								1	11	28	28	28	28	2	2				2							1	1	1	2	2	100	3		1			111110	Mileage reimbursement when a personal car is used.											2				2				2			2		2			2	2
H5932	013	0	1	01	01	H5932_013_0	5	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	30	3		1			111110	Mileage reimbursement when a personal car is used.											2				2				2			2		2			2	2
H5934	001	0	1	20	08	H5934_001_0	1																																																																			
H5934	002	0	1	20	08	H5934_002_0	1																																																																			
H5937	001	0	1	01	01	H5937_001_0	9	2								1	11	20	20	20	20	2	2				2							2	1	1	2	2	3	6	Periodicity per week to a participating fitness center.	2			010111												2				2				2			2		2			2	2
H5938	001	0	1	01	01	H5938_001_0	12	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5938	006	0	1	01	01	H5938_006_0	12	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5938	008	0	1	01	01	H5938_008_0	12	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5938	802	0	1	01	01	H5938_802_0	4	2								1	11	20	20	20	20	2	2				2							2	2																																							
H5938	803	0	1	01	01	H5938_803_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H5938	804	0	1	01	01	H5938_804_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H5938	805	0	1	01	01	H5938_805_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H5943	001	0	1	02	01	H5943_001_0	6	2								1	11	20	20	20	20	2	2				2							2	1	1	2	2	52	3		1			011011												2				2				2			2		2			1	2
H5943	002	0	1	02	01	H5943_002_0	7	2								1	11	20	20	20	20	2	2				2							2	1	1	2	2	38	3		1			011011												2				2				2			2		2			1	2
H5945	001	0	1	01	01	H5945_001_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	1	1	1	1	2	1				1			011011												2				2				2			2		2			1	2
H5945	002	0	1	01	01	H5945_002_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	1	1	1	1	2	1				1			011011												2				2				2			2		2			1	2
H5945	008	0	1	01	01	H5945_008_0	7	2								2							2				1	11	175.00	175.00	175.00	175.00	1	1	1	1	2	1				1			011011												2				2				2			2		2			1	2
H5945	009	0	1	01	01	H5945_009_0	7	2								1	11	20	20	20	20	1	2				2							1	1	1	2	1				1			011111												2				2				2			2		2			1	2
H5945	013	0	1	01	01	H5945_013_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	1	1	1	1	2	1				1			011011												2				2				2			2		2			1	2
H5945	014	0	1	01	01	H5945_014_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	1	1	1	1	2	1				1			011011												2				2				2			2		2			1	2
H5945	016	0	1	01	01	H5945_016_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	1	1	1	1	2	1				1			011011												2				2				2			2		2			1	2
H5945	017	0	1	01	01	H5945_017_0	8	2								1	11	20	20	20	20	1	2				2							1	1	1	2	1				1			011111												2				2				2			2		2			1	2
H5945	018	0	1	01	01	H5945_018_0	7	2								1	11	20	20	20	20	1	2				2							1	1	1	2	1				1			011111												2				2				2			2		2			1	2
H5945	020	0	1	01	01	H5945_020_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	1	1	1	1	2	1				1			011011												2				2				2			2		2			1	2
H5945	021	0	1	01	01	H5945_021_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	1	1	1	1	2	1				1			011011												2				2				2			2		2			1	2
H5945	027	0	1	01	01	H5945_027_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	1	1	1	1	2	1				1			011011												2				2				2			2		2			1	2
H5945	801	0	1	01	01	H5945_801_0	3	2								1	11	20	20	20	20	1	2				2							1	2																																							
H5945	802	0	1	01	01	H5945_802_0	3	2								1	11	20	20	20	20	1	2				2							1	2																																							
H5945	804	0	1	01	01	H5945_804_0	3	2								1	11	20	20	20	20	1	2				2							1	2																																							
H5945	805	0	1	01	01	H5945_805_0	3	2								1	11	20	20	20	20	1	2				2							1	2																																							
H5959	009	0	1	04	01	H5959_009_0	8	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5959	010	1	1	04	01	H5959_010_1	8	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	2																																							
H5959	010	2	1	04	01	H5959_010_2	8	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	2																																							
H5959	011	0	1	04	01	H5959_011_0	8	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	2																																							
H5959	012	0	1	04	01	H5959_012_0	7	2								2							2				1	11	315.00	315.00	315.00	315.00	2	1	2																																							
H5959	013	1	1	04	01	H5959_013_1	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H5959	013	2	1	04	01	H5959_013_2	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H5959	014	1	1	04	01	H5959_014_1	9	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5959	014	2	1	04	01	H5959_014_2	8	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5959	015	0	1	04	01	H5959_015_0	8	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5959	016	0	1	04	01	H5959_016_0	8	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5959	018	0	1	04	01	H5959_018_0	6	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	2																																							
H5959	801	0	1	04	01	H5959_801_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5959	807	0	1	04	01	H5959_807_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5959	808	0	1	04	01	H5959_808_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5959	809	0	1	04	01	H5959_809_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5965	002	0	1	04	01	H5965_002_0	18	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5965	003	0	1	04	01	H5965_003_0	17	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H5965	004	0	1	04	01	H5965_004_0	18	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H5965	005	0	1	04	01	H5965_005_0	18	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5969	002	0	1	01	01	H5969_002_0	3	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			111110	Other:  There is a maximum of 25 miles limit per one-way trip.  Mileage reimbursement may be authorized in lieu of other approved modes of transportation.											2				2				2			2		2			1	2
H5969	003	0	1	01	01	H5969_003_0	3	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			111110	Other:  There is a maximum of 25 miles limit per one-way trip.  Mileage reimbursement may be authorized in lieu of other approved modes of transportation.											2				2				2			2		2			1	2
H5970	001	0	1	04	01	H5970_001_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	36	3		1			101010	Services arranged by the plan's transportation provider to approved locations by means of car, van, or wheelchair access vehicle that provide members access to health benefits. This benefit is not to											2				2				2			2		1	0.00	0.00	1	2
H5970	015	0	1	04	01	H5970_015_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5970	016	0	1	04	01	H5970_016_0	3	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	1	1	2	1				1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5970	018	0	1	04	01	H5970_018_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5970	020	0	1	04	01	H5970_020_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	48	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5970	024	1	1	04	01	H5970_024_1	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5970	024	2	1	04	01	H5970_024_2	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H5970	025	0	1	04	01	H5970_025_0	9	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	24	3		1			101010	Services arranged by the plan's transportation provider to approved locations by means of car, van, or wheelchair access vehicle that provide members access to health benefits. This benefit is not to											2				2				2			2		1	0.00	0.00	1	2
H5970	026	0	1	04	01	H5970_026_0	8	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5970	027	0	1	04	01	H5970_027_0	9	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	12	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H5970	801	0	1	04	01	H5970_801_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5970	802	0	1	04	01	H5970_802_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5970	805	0	2	04	01	H5970_805_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5970	806	0	2	04	01	H5970_806_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5970	816	0	1	04	01	H5970_816_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5970	817	0	1	04	01	H5970_817_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5970	818	0	1	04	01	H5970_818_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5970	819	0	1	04	01	H5970_819_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5970	822	0	1	04	01	H5970_822_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5970	823	0	1	04	01	H5970_823_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5970	828	0	1	04	01	H5970_828_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5970	829	0	1	04	01	H5970_829_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5978	001	0	1	20	08	H5978_001_0	1																																																																			
H5978	002	0	1	20	08	H5978_002_0	1																																																																			
H5989	011	0	1	01	01	H5989_011_0	10	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	25	3		1			100000	The plan will cover mass transit and ambulatory vehicles (sedan, van, taxi). Transportation services must be arranged through Healthfirsts transportation vendor.											2				2				2			2		2			1	2
H5991	010	0	1	01	01	H5991_010_0	11	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5991	012	1	1	01	01	H5991_012_1	10	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5991	012	2	1	01	01	H5991_012_2	11	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5992	007	0	1	01	01	H5992_007_0	8	2								1	11	20	20	20	20	2	2				2							1	2																																							
H5992	009	1	1	01	01	H5992_009_1	8	2								1	11	20	20	20	20	2	2				2							1	1	2											2	1				1			011111		1	75.00	5		2				2			2		2			2	2
H5992	009	2	1	01	01	H5992_009_2	9	2								1	11	20	20	20	20	2	2				2							1	1	2											2	1				1			011111		1	100.00	5		2				2			2		2			2	2
H5993	001	0	1	20	08	H5993_001_0	1																																																																			
H5993	002	0	1	20	08	H5993_002_0	1																																																																			
H5995	001	0	1	01	01	H5995_001_0	10	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			011011												2				2				2			2		2			2	2
H6018	001	0	1	04	01	H6018_001_0	11	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H6018	002	0	1	04	01	H6018_002_0	11	2								1	10			20	20	2	2				1	01	270.00	270.00			2	1	2																																							
H6018	003	0	1	04	01	H6018_003_0	10	2								1	10			20	20	2	2				1	01	350.00	350.00			2	1	2																																							
H6019	001	0	1	01	01	H6019_001_0	4	2								1	11	20	20	20	20	1	2				2							1	2																																							
H6059	001	0	1	20	08	H6059_001_0	1																																																																			
H6059	002	0	1	20	08	H6059_002_0	1																																																																			
H6067	001	1	1	01	01	H6067_001_1	7	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	2																																							
H6067	001	2	1	01	01	H6067_001_2	7	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	2																																							
H6067	002	1	1	01	01	H6067_002_1	7	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	2																																							
H6067	002	2	1	01	01	H6067_002_2	7	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	2																																							
H6067	801	0	1	01	01	H6067_801_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6067	802	0	1	01	01	H6067_802_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6067	803	0	1	01	01	H6067_803_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6067	804	0	1	01	01	H6067_804_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6078	801	0	1	04	01	H6078_801_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6078	802	0	1	04	01	H6078_802_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6078	803	0	1	04	01	H6078_803_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6078	804	0	1	04	01	H6078_804_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6078	805	0	2	04	01	H6078_805_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6078	806	0	2	04	01	H6078_806_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6079	001	0	1	20	08	H6079_001_0	1																																																																			
H6079	002	0	1	20	08	H6079_002_0	1																																																																			
H6080	001	0	1	48	05	H6080_001_0	15	2								2							2				2							1	1	1	2	1				2			010111												2				2				2			2		2			1	2
H6081	001	0	1	20	08	H6081_001_0	1																																																																			
H6081	002	0	1	20	08	H6081_002_0	1																																																																			
H6130	801	0		07	02	H6130_801_0	1																																																																			
H6130	802	0		07	02	H6130_802_0	1																																																																			
H6130	803	0		07	02	H6130_803_0	1																																																																			
H6130	804	0		07	02	H6130_804_0	1																																																																			
H6130	805	0		07	02	H6130_805_0	1																																																																			
H6130	806	0		07	02	H6130_806_0	1																																																																			
H6130	807	0		07	02	H6130_807_0	1																																																																			
H6130	808	0		07	02	H6130_808_0	1																																																																			
H6130	809	0		07	02	H6130_809_0	1																																																																			
H6130	810	0		07	02	H6130_810_0	1																																																																			
H6130	811	0		07	02	H6130_811_0	1																																																																			
H6130	812	0		07	02	H6130_812_0	1																																																																			
H6130	813	0		07	02	H6130_813_0	1																																																																			
H6130	814	0		07	02	H6130_814_0	1																																																																			
H6130	815	0		07	02	H6130_815_0	1																																																																			
H6147	001	0	1	20	08	H6147_001_0	1																																																																			
H6147	002	0	1	20	08	H6147_002_0	1																																																																			
H6154	001	0	1	02	01	H6154_001_0	6	2								1	10			20	20	2	2				1	01	265.00	265.00			2	2	2																																							
H6158	001	0	1	01	01	H6158_001_0	4	2								1	10			20	20	2	2				1	01	325.00	325.00			2	2	2																																							
H6158	003	0	1	01	01	H6158_003_0	3	2								1	10			20	20	2	2				1	01	325.00	325.00			2	2	1	1	2	2	60	3		1			111110	Mileage/Gas reimbursement.											2				2				2			2		1	0.00	0.00	2	2
H6170	001	0	1	01	01	H6170_001_0	7	2								1	10			0	20	2	2				1	01	0.00	125.00			2	1	1	1	2	2	100	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H6170	002	0	1	01	01	H6170_002_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			011111												2				2				2			2		1	0.00	0.00	2	2
H6170	003	0	1	01	01	H6170_003_0	7	2								1	10			0	20	1	2				1	01	0.00	125.00			1	1	1	1	2	2	100	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H6188	001	0	1	20	08	H6188_001_0	1																																																																			
H6188	002	0	1	20	08	H6188_002_0	1																																																																			
H6193	001	0	1	01	01	H6193_001_0	8	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H6200	001	0	1	04	01	H6200_001_0	4	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	1	1	2	2	24	3		1			100000	The appropriate mode of transportation will be selected by the transportation vendor. Options include car, van, or wheelchair assisted vehicle.											2				2				2			2		2			2	2
H6200	002	0	1	04	01	H6200_002_0	4	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	24	3		1			100000	The appropriate mode of transportation will be selected by the transportation vendor. Options include car, van, or wheelchair assisted vehicle.											2				2				2			2		2			2	2
H6200	003	0	1	04	01	H6200_003_0	4	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	1	1	2	2	24	3		1			100000	The appropriate mode of transportation will be selected by the transportation vendor. Options include car, van, or wheelchair assisted vehicle.											2				2				2			2		2			2	2
H6200	004	0	1	04	01	H6200_004_0	4	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H6200	005	0	1	04	01	H6200_005_0	4	2								2							2				1	11	195.00	195.00	195.00	195.00	2	1	2																																							
H6200	006	0	1	04	01	H6200_006_0	4	2								2							2				1	11	245.00	245.00	245.00	245.00	2	1	1	1	2	2	24	3		1			100000	The appropriate mode of transportation will be selected by the transportation vendor. Options include car, van, or wheelchair assisted vehicle.											2				2				2			2		2			2	2
H6200	007	0	1	04	01	H6200_007_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	24	3		1			100000	The appropriate mode of transportation will be selected by the transportation vendor. Options include car, van, or wheelchair assisted vehicle.											2				2				2			2		2			2	2
H6200	801	0	1	04	01	H6200_801_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6200	802	0	1	04	01	H6200_802_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6200	803	0	1	04	01	H6200_803_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6200	804	0	1	04	01	H6200_804_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6202	001	0	1	04	01	H6202_001_0	13	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H6202	002	0	1	04	01	H6202_002_0	11	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	2																																							
H6202	003	0	1	04	01	H6202_003_0	8	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	2																																							
H6202	801	0	1	04	01	H6202_801_0	6	2								1	11	20	20	20	20	2	2				2							2	2																																							
H6202	802	0	1	04	01	H6202_802_0	6	2								1	11	20	20	20	20	2	2				2							2	2																																							
H6202	803	0	1	04	01	H6202_803_0	6	2								1	11	20	20	20	20	2	2				2							2	2																																							
H6202	804	0	1	04	01	H6202_804_0	6	2								1	11	20	20	20	20	2	2				2							2	2																																							
H6231	001	0	1	20	08	H6231_001_0	1																																																																			
H6231	002	0	1	20	08	H6231_002_0	1																																																																			
H6237	006	0	1	01	01	H6237_006_0	6	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	2																																							
H6237	007	1	1	01	01	H6237_007_1	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H6237	007	3	1	01	01	H6237_007_3	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H6237	007	4	1	01	01	H6237_007_4	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H6237	008	1	1	01	01	H6237_008_1	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H6237	008	3	1	01	01	H6237_008_3	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H6248	001	0	1	01	01	H6248_001_0	7	2								2							2				1	11	100.00	100.00	100.00	100.00	2	1	1	1	2	2	24	3		1			010000												2				2				2			2		2			1	1
H6306	005	0	1	01	01	H6306_005_0	10	2								2							2				1	11	100.00	100.00	400.00	400.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		2			1	1
H6306	013	0	1	02	01	H6306_013_0	7	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	1	1	2	2	26	3		1			011111												2				2				2			2		2			2	2
H6306	014	0	1	02	01	H6306_014_0	8	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	1	1	2	2	26	3		1			011111												2				2				2			2		2			2	2
H6306	015	0	1	02	01	H6306_015_0	6	2								2							2				1	11	350.00	350.00	450.00	450.00	2	1	2																																							
H6306	016	0	1	02	01	H6306_016_0	5	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	1	1	2	2	26	3		1			011111												2				2				2			2		2			2	2
H6306	017	0	1	02	01	H6306_017_0	7	2								2							2				1	11	250.00	250.00	400.00	400.00	2	1	2																																							
H6306	018	0	1	02	01	H6306_018_0	8	2								2							2				1	11	350.00	350.00	450.00	450.00	2	1	2																																							
H6306	801	0	1	02	01	H6306_801_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6306	802	0	1	02	01	H6306_802_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6306	803	0	1	02	01	H6306_803_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6316	002	0	1	01	01	H6316_002_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	210	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H6317	001	0	1	20	08	H6317_001_0	1																																																																			
H6317	002	0	1	20	08	H6317_002_0	1																																																																			
H6322	001	0	1	01	01	H6322_001_0	7	2								2							2				1	11	220.00	220.00	220.00	220.00	2	1	1	1	2	2	20	3		1			011111												2				2				2			2		2			2	2
H6322	002	0	1	01	01	H6322_002_0	7	2								2							2				1	11	220.00	220.00	220.00	220.00	2	1	1	1	2	2	20	3		1			011111												2				2				2			2		2			2	2
H6322	003	1	1	02	01	H6322_003_1	7	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	20	3		1			011111												2				2				2			2		2			2	2
H6322	003	2	1	02	01	H6322_003_2	7	2								2							2				1	11	220.00	220.00	220.00	220.00	2	1	1	1	2	2	20	3		1			011111												2				2				2			2		2			2	2
H6322	004	0	1	01	01	H6322_004_0	9	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	25	3		1			011111												2				2				2			2		2			2	2
H6328	001	0	1	04	01	H6328_001_0	11	2								2							2				2							1	2																																							
H6328	002	0	1	04	01	H6328_002_0	11	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	2																																							
H6328	003	0	1	04	01	H6328_003_0	11	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	2																																							
H6328	005	0	1	04	01	H6328_005_0	5	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	2																																							
H6328	801	0	1	04	01	H6328_801_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H6328	802	0	1	04	01	H6328_802_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H6328	803	0	1	04	01	H6328_803_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H6328	804	0	1	04	01	H6328_804_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H6342	001	0	1	20	08	H6342_001_0	1																																																																			
H6342	002	0	1	20	08	H6342_002_0	1																																																																			
H6345	001	0	1	01	01	H6345_001_0	6	2								1	11	20	20	20	20	2	2				2							2	1	1	2	2	24	3		1			011111												2				2				2			2		2			2	2
H6345	002	0	1	01	01	H6345_002_0	5	2								1	11	20	20	20	20	2	2				2							2	1	1	2	2	24	3		1			011111												2				2				2			2		2			2	2
H6348	002	0	1	04	01	H6348_002_0	17	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H6348	005	0	1	04	01	H6348_005_0	15	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H6348	006	0	1	04	01	H6348_006_0	17	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H6348	007	0	1	04	01	H6348_007_0	17	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H6351	001	0	1	01	01	H6351_001_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	55	3		1			010111												2				2				2			2		2			1	2
H6351	004	0	1	01	01	H6351_004_0	5	2								1	10			20	20	2	2				1	01	255.00	255.00			2	1	1	1	2	1				1			010111												1	20.00	6	Freedom Flex Card - $20/month (can be rolled over) shared with fitness.	2				2			2		2			1	2
H6351	005	0	1	01	01	H6351_005_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	20	3		1			010111												2				2				2			2		2			2	2
H6371	001	0	1	20	08	H6371_001_0	1																																																																			
H6371	002	0	1	20	08	H6371_002_0	1																																																																			
H6378	001	0	1	01	01	H6378_001_0	9	2								1	11	35	35	35	35	2	2				2							1	1	1	2	1				1			100000	May consist of a car, shuttle, or van service depending on appropriateness for the situation and the members needs.											2				2				2			2		2			2	2
H6379	001	0	1	01	01	H6379_001_0	9	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	12	3		2			011011												2				2				2			2		2			2	2
H6379	002	0	1	01	01	H6379_002_0	8	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	24	3		2			011011												2				2				2			2		2			2	2
H6396	005	0	1	01	01	H6396_005_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			011111												2				2				2			2		2			2	2
H6396	014	0	1	01	01	H6396_014_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			011111												2				2				2			2		2			2	2
H6396	015	0	1	01	01	H6396_015_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			011111												2				2				2			2		2			2	2
H6399	001	0	1	01	01	H6399_001_0	6	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6408	001	0	1	01	01	H6408_001_0	8	2								2							2				1	11	250.00	250.00	300.00	300.00	2	1	2																																							
H6408	002	0	1	01	01	H6408_002_0	8	2								2							2				1	11	275.00	275.00	325.00	325.00	2	1	2																																							
H6408	003	0	1	01	01	H6408_003_0	6	2								2							2				1	11	250.00	250.00	300.00	300.00	2	1	2																																							
H6408	801	0	1	01	01	H6408_801_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6408	802	0	1	01	01	H6408_802_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6425	001	0	1	20	08	H6425_001_0	1																																																																			
H6425	002	0	1	20	08	H6425_002_0	1																																																																			
H6446	001	0	1	01	01	H6446_001_0	17	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H6446	010	0	1	01	01	H6446_010_0	17	2								2							2				1	11	245.00	245.00	245.00	245.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H6446	014	0	1	01	01	H6446_014_0	18	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H6446	016	0	1	01	01	H6446_016_0	18	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H6446	017	0	1	01	01	H6446_017_0	17	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H6453	011	0	1	02	01	H6453_011_0	6	2								2							2				1	11	250.00	250.00	300.00	300.00	2	1	2																																							
H6453	013	1	1	02	01	H6453_013_1	7	2								2							2				1	11	250.00	250.00	260.00	260.00	2	1	2																																							
H6453	013	2	1	02	01	H6453_013_2	7	2								2							2				1	11	250.00	250.00	260.00	260.00	2	1	2																																							
H6453	013	3	1	02	01	H6453_013_3	7	2								2							2				1	11	250.00	250.00	260.00	260.00	2	1	2																																							
H6453	013	4	1	02	01	H6453_013_4	7	2								2							2				1	11	250.00	250.00	260.00	260.00	2	1	2																																							
H6453	013	5	1	02	01	H6453_013_5	7	2								2							2				1	11	250.00	250.00	260.00	260.00	2	1	2																																							
H6453	017	1	1	02	01	H6453_017_1	7	2								2							2				1	11	250.00	250.00	260.00	260.00	2	1	2																																							
H6453	017	2	1	02	01	H6453_017_2	7	2								2							2				1	11	250.00	250.00	260.00	260.00	2	1	2																																							
H6453	018	1	1	02	01	H6453_018_1	9	2								2							2				1	11	250.00	250.00	260.00	260.00	2	1	2																																							
H6453	018	2	1	02	01	H6453_018_2	9	2								2							2				1	11	250.00	250.00	260.00	260.00	2	1	2																																							
H6453	019	0	1	02	01	H6453_019_0	8	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	84	3		1			000011												2				2				2			2		2			2	2
H6453	801	0	1	01	01	H6453_801_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6453	802	0	1	01	01	H6453_802_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6453	803	0	1	01	01	H6453_803_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6453	804	0	1	02	01	H6453_804_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6474	001	0	1	01	01	H6474_001_0	7	2								1	10			0	20	2	2				1	01	0.00	125.00			2	1	1	1	2	2	100	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H6474	002	0	1	01	01	H6474_002_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			011111												2				2				2			2		1	0.00	0.00	2	2
H6474	003	0	1	01	01	H6474_003_0	7	2								1	10			0	20	1	2				1	01	0.00	125.00			1	1	1	1	2	2	100	3		1			011111												2				2				2			2		1	0.00	0.00	2	2
H6502	002	0	1	04	01	H6502_002_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	2											2	1				1			001001		2				2				2			2		1	0.00	0.00	2	2
H6502	003	0	1	04	01	H6502_003_0	4	2								2							2				1	11	285.00	285.00	285.00	285.00	2	1	1	2											2	1				1			001001		2				2				2			2		1	0.00	0.00	2	2
H6502	004	0	1	04	01	H6502_004_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	2											2	1				1			001001		2				2				2			2		1	0.00	0.00	2	2
H6502	005	0	1	04	01	H6502_005_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H6502	801	0	1	04	01	H6502_801_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6502	802	0	1	04	01	H6502_802_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6502	803	0	1	04	01	H6502_803_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6502	804	0	1	04	01	H6502_804_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6517	001	0	1	20	08	H6517_001_0	2																																																																			
H6517	002	0	1	20	08	H6517_002_0	2																																																																			
H6526	001	0	1	02	01	H6526_001_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H6526	002	0	1	02	01	H6526_002_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H6529	001	1	1	01	01	H6529_001_1	8	2								2							2				1	11	260.00	260.00	325.00	325.00	1	1	2																																							
H6529	001	2	1	01	01	H6529_001_2	4	2								2							2				1	11	260.00	260.00	325.00	325.00	1	1	2																																							
H6529	002	0	1	01	01	H6529_002_0	6	2								2							2				1	11	260.00	260.00	325.00	325.00	1	1	2																																							
H6541	001	0	1	20	08	H6541_001_0	1																																																																			
H6541	002	0	1	20	08	H6541_002_0	1																																																																			
H6545	001	0	1	04	01	H6545_001_0	10	2								1	10			20	20	2	2				1	01	280.00	280.00			2	1	2																																							
H6550	003	0	1	01	01	H6550_003_0	17	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H6550	004	0	1	01	01	H6550_004_0	18	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H6550	006	0	1	01	01	H6550_006_0	18	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H6550	007	0	1	01	01	H6550_007_0	18	2								2							2				1	11	285.00	285.00	285.00	285.00	2	1	2																																							
H6550	009	0	1	01	01	H6550_009_0	18	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6551	001	0	1	20	08	H6551_001_0	2																																																																			
H6551	002	0	1	20	08	H6551_002_0	2																																																																			
H6586	001	0	1	04	01	H6586_001_0	10	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H6586	002	0	1	04	01	H6586_002_0	12	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H6586	003	0	1	04	01	H6586_003_0	10	2								1	10			20	20	2	2				1	01	350.00	350.00			2	1	2																																							
H6586	005	0	1	04	01	H6586_005_0	7	2								1	10			20	20	2	2				1	01	350.00	350.00			2	1	2																																							
H6586	006	0	1	04	01	H6586_006_0	10	2								1	10			20	20	2	2				1	01	295.00	295.00			2	1	2																																							
H6594	001	0	1	04	01	H6594_001_0	16	2								2							2				1	11	330.00	330.00	330.00	330.00	2	1	2																																							
H6594	002	0	1	04	01	H6594_002_0	17	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H6594	003	0	1	04	01	H6594_003_0	7	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6594	004	0	1	04	01	H6594_004_0	6	2								2							2				1	11	255.00	255.00	255.00	255.00	2	1	2																																							
H6595	003	0	1	02	01	H6595_003_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H6595	004	0	1	02	01	H6595_004_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H6596	001	0	1	20	08	H6596_001_0	1																																																																			
H6596	002	0	1	20	08	H6596_002_0	1																																																																			
H6605	001	0	1	04	01	H6605_001_0	18	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H6605	002	0	1	04	01	H6605_002_0	14	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	2																																							
H6605	003	0	1	04	01	H6605_003_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H6605	004	0	1	04	01	H6605_004_0	17	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H6622	001	0	1	01	01	H6622_001_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H6622	004	0	1	01	01	H6622_004_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	36	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H6622	007	0	1	01	01	H6622_007_0	5	2								2							2				1	11	300.00	300.00	500.00	500.00	2	1	2																																							
H6622	008	0	1	01	01	H6622_008_0	8	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H6622	010	0	1	02	01	H6622_010_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H6622	013	0	1	02	01	H6622_013_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	60	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H6622	014	0	1	02	01	H6622_014_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H6622	015	0	1	01	01	H6622_015_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	100	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H6622	017	0	1	01	01	H6622_017_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H6622	018	0	1	01	01	H6622_018_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	48	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H6622	019	0	1	01	01	H6622_019_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H6622	021	1	1	02	01	H6622_021_1	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H6622	021	2	1	02	01	H6622_021_2	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H6622	022	0	1	02	01	H6622_022_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H6622	023	0	1	02	01	H6622_023_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			100010	Services arranged by the plan's transportation provider to approved locations by means of car, van, or wheelchair access vehicle that provide members access to health benefits. This benefit is not to											2				2				2			2		1	0.00	0.00	1	2
H6622	025	0	1	02	01	H6622_025_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H6622	026	0	1	02	01	H6622_026_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			100010	Srvcs arranged by the plan's transport prvder to approved loc by means of car, van, or wheelchair access vehicle that provide access to health benefits. This benefit is not to exceed 150 mi  per trip.											2				2				2			2		1	0.00	0.00	1	2
H6622	027	0	1	02	01	H6622_027_0	8	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	48	3		1			100010	Services arranged by the plan's transportation provider to approved locations by means of car, van, or wheelchair access vehicle not to exceed 75 miles per trip.											2				2				2			2		1	0.00	0.00	1	2
H6622	028	0	1	01	01	H6622_028_0	5	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	2																																							
H6622	029	0	1	01	01	H6622_029_0	6	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	2	2	50	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H6622	030	0	1	01	01	H6622_030_0	5	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	2	2	50	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H6622	032	0	1	01	01	H6622_032_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H6622	033	0	1	01	01	H6622_033_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H6622	035	0	1	01	01	H6622_035_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H6622	036	0	1	01	01	H6622_036_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H6622	037	0	1	01	01	H6622_037_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H6622	047	0	1	01	01	H6622_047_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H6622	048	0	1	01	01	H6622_048_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	1				1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H6622	051	0	1	01	01	H6622_051_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	48	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H6622	052	0	1	01	01	H6622_052_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H6622	054	0	1	01	01	H6622_054_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			100010	Services arranged by the plan's transportation provider to approved locations by means of car, van, or wheelchair access vehicle that provide members access to health benefits. This benefit is not to											2				2				2			2		1	0.00	0.00	1	2
H6622	055	0	1	01	01	H6622_055_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H6622	056	0	1	01	01	H6622_056_0	5	2								2							2				1	11	180.00	180.00	180.00	180.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H6622	057	0	1	02	01	H6622_057_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H6622	060	0	1	02	01	H6622_060_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	36	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H6622	061	0	1	02	01	H6622_061_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			100010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H6622	063	0	1	01	01	H6622_063_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H6622	066	0	1	01	01	H6622_066_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H6622	071	0	1	01	01	H6622_071_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	48	3		1			100010	Services arranged by the plan's trans provider to approved locations by means of car,van,orwheelchair vehicle that provide mbrs access to health benefits.  benefit is not to exceed 50 miles per trip.											2				2				2			2		1	0.00	0.00	1	2
H6622	073	0	1	02	01	H6622_073_0	5	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H6622	075	0	1	01	01	H6622_075_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H6622	078	1	1	01	01	H6622_078_1	8	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	60	3		1			101010	Car, wheelchair access vehicle.											2				2				2			2		1	0.00	0.00	1	2
H6622	078	2	1	01	01	H6622_078_2	8	2								2							2				1	11	300.00	300.00	300.00	300.00	1	1	1	1	2	2	60	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H6622	079	0	1	01	01	H6622_079_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	1				1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H6622	081	0	1	01	01	H6622_081_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	car, wheelchair access vehicle.											2				2				2			2		1	0.00	0.00	1	2
H6622	082	0	1	01	01	H6622_082_0	5	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	2																																							
H6622	083	0	1	01	01	H6622_083_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H6622	084	0	1	01	01	H6622_084_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	36	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H6622	085	0	1	01	01	H6622_085_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	1	2
H6622	086	0	1	01	01	H6622_086_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	48	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H6622	087	0	1	01	01	H6622_087_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	100	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H6622	088	0	1	02	01	H6622_088_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			101010	car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H6622	801	0	1	01	01	H6622_801_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6622	802	0	1	01	01	H6622_802_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6622	804	0	1	01	01	H6622_804_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6622	805	0	1	01	01	H6622_805_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6652	001	0	1	01	01	H6652_001_0	5	2								1	11	20	20	20	20	2	2				2							1	1	2											2	2	32	3		1			000011		2				2				2			2		1	0.00	0.00	2	2
H6672	001	0	1	01	01	H6672_001_0	9	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		2			011011												2				2				2			2		2			2	2
H6672	003	0	1	01	01	H6672_003_0	8	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	24	3		2			011011												2				2				2			2		2			2	2
H6672	005	0	1	01	01	H6672_005_0	9	2								1	10			20	20	2	2				1	01	265.00	265.00			2	1	1	1	2	2	12	3		2			011011												2				2				2			2		2			2	2
H6678	003	0	1	01	01	H6678_003_0	18	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H6678	004	0	1	01	01	H6678_004_0	16	2								2							2				1	11	235.00	235.00	235.00	235.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H6706	001	0	1	02	01	H6706_001_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H6713	001	0	1	04	01	H6713_001_0	10	2								2							2				1	11	280.00	280.00	280.00	280.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H6713	002	0	1	04	01	H6713_002_0	21	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H6723	001	1	1	01	01	H6723_001_1	12	2								1	10			50	50	2	2				1	01	225.00	225.00			2	1	1	1	2	2	24	6	24 trips per each discharge must be requested within 90 days of discharge from an acute inpatient hospital. Prior authorization may be required. Please contact Plan for details.	1			001011												2				2				2			2		2			1	2
H6723	001	2	1	01	01	H6723_001_2	12	2								1	10			50	50	2	2				1	01	275.00	275.00			2	1	1	1	2	2	24	6	24 trips per each discharge must be requested within 90 days of discharge from an acute inpatient hospital. Prior authorization may be required. Please contact Plan for details.	1			001011												2				2				2			2		2			1	2
H6723	001	3	1	01	01	H6723_001_3	12	2								1	10			50	50	2	2				1	01	225.00	225.00			2	1	1	1	2	2	24	6	24 trips per each discharge must be requested within 90 days of discharge from an acute inpatient hospital. Prior authorization may be required. Please contact Plan for details.	1			001011												2				2				2			2		2			1	2
H6723	002	1	1	01	01	H6723_002_1	12	2								1	10			50	50	2	2				1	01	210.00	210.00			2	1	1	1	2	2	24	6	24 trips per each discharge must be requested within 90 days of discharge from an acute inpatient hospital. Prior authorization may be required. Please contact Plan for details.	1			001011												2				2				2			2		2			1	2
H6723	002	2	1	01	01	H6723_002_2	12	2								1	10			50	50	2	2				1	01	255.00	255.00			2	1	1	1	2	2	24	6	24 trips per each discharge must be requested within 90 days of discharge from an acute inpatient hospital. Prior authorization may be required. Please contact Plan for details.	1			001011												2				2				2			2		2			1	2
H6723	002	3	1	01	01	H6723_002_3	12	2								1	10			50	50	2	2				1	01	210.00	210.00			2	1	1	1	2	2	24	6	24 trips per each discharge must be requested within 90 days of discharge from an acute inpatient hospital. Prior authorization may be required. Please contact Plan for details.	1			001011												2				2				2			2		2			1	2
H6723	003	1	1	01	01	H6723_003_1	12	2								1	10			50	50	2	2				1	01	190.00	190.00			2	1	1	1	2	2	24	6	24 trips per each discharge must be requested within 90 days of discharge from an acute inpatient hospital. Prior authorization may be required. Please contact Plan for details.	1			001011												2				2				2			2		2			1	2
H6723	003	2	1	01	01	H6723_003_2	12	2								1	10			50	50	2	2				1	01	235.00	235.00			2	1	1	1	2	2	24	6	24 trips per each discharge must be requested within 90 days of discharge from an acute inpatient hospital. Prior authorization may be required. Please contact Plan for details.	1			001011												2				2				2			2		2			1	2
H6723	003	3	1	01	01	H6723_003_3	12	2								1	10			50	50	2	2				1	01	190.00	190.00			2	1	1	1	2	2	24	6	24 trips per each discharge must be requested within 90 days of discharge from an acute inpatient hospital. Prior authorization may be required. Please contact Plan for details.	1			001011												2				2				2			2		2			1	2
H6723	005	1	1	01	01	H6723_005_1	10	2								1	10			50	50	2	2				1	01	200.00	200.00			2	1	1	1	2	2	24	6	24 trips per each discharge must be requested within 90 days of discharge from an acute inpatient hospital. Prior authorization may be required. Please contact Plan for details.	1			001011												2				2				2			2		2			1	2
H6723	005	2	1	01	01	H6723_005_2	10	2								1	10			50	50	2	2				1	01	200.00	200.00			2	1	1	1	2	2	24	6	24 trips per each discharge must be requested within 90 days of discharge from an acute inpatient hospital. Prior authorization may be required. Please contact Plan for details.	1			001011												2				2				2			2		2			1	2
H6723	006	6	1	01	01	H6723_006_6	12	2								1	10			50	50	2	2				1	01	200.00	200.00			2	1	1	1	2	2	24	6	24 trips per each discharge must be requested within 90 days of discharge from an acute inpatient hospital. Prior authorization may be required. Please contact Plan for details.	1			001011												2				2				2			2		2			1	2
H6723	006	7	1	01	01	H6723_006_7	12	2								1	10			50	50	2	2				1	01	200.00	200.00			2	1	1	1	2	2	24	6	24 trips per each discharge must be requested within 90 days of discharge from an acute inpatient hospital. Prior authorization may be required. Please contact Plan for details.	1			001011												2				2				2			2		2			1	2
H6723	801	0	1	01	01	H6723_801_0	9	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6723	802	0	1	01	01	H6723_802_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6723	803	0	1	01	01	H6723_803_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6727	001	0	1	04	01	H6727_001_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	20	3		1			100000	The appropriate mode of transportation will be selected by the transportation vendor. Options include car, van, or wheelchair assisted vehicle											2				2				2			2		2			2	2
H6727	801	0	1	04	01	H6727_801_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6727	802	0	1	04	01	H6727_802_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6727	803	0	1	04	01	H6727_803_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6727	804	0	1	04	01	H6727_804_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6743	001	0	1	04	01	H6743_001_0	12	2								2							2				1	11	350.00	350.00	300.00	300.00	2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			2	2
H6743	007	0	1	04	01	H6743_007_0	11	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			2	2
H6743	023	1	1	04	01	H6743_023_1	9	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			2	2
H6743	023	3	1	04	01	H6743_023_3	12	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			2	2
H6743	024	1	1	04	01	H6743_024_1	10	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			2	2
H6743	024	3	1	04	01	H6743_024_3	9	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H6743	025	0	1	04	01	H6743_025_0	9	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H6743	026	0	1	04	01	H6743_026_0	9	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	2											2	2	24	3		1			011011		2				2				2			2		2			2	2
H6743	027	0	1	04	01	H6743_027_0	11	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			2	2
H6750	005	0	1	01	01	H6750_005_0	7	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	1	1	2	1				1			000001												2				2				2			2		1	0.00	0.00	1	2
H6750	012	1	1	01	01	H6750_012_1	8	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	1				1			000001												2				2				2			2		1	0.00	0.00	1	2
H6750	012	2	1	01	01	H6750_012_2	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	1				1			000001												2				2				2			2		1	0.00	0.00	1	2
H6750	013	0	1	01	01	H6750_013_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	1				1			000001												2				2				2			2		1	0.00	0.00	1	2
H6750	014	0	1	02	01	H6750_014_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	1				1			000001												2				2				2			2		1	0.00	0.00	1	2
H6750	807	0	1	01	01	H6750_807_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6750	808	0	1	01	01	H6750_808_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6750	809	0	1	01	01	H6750_809_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6750	810	0	1	01	01	H6750_810_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6750	811	0	1	02	01	H6750_811_0	1	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H6750	812	0	1	02	01	H6750_812_0	1	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H6750	813	0	1	02	01	H6750_813_0	1	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H6750	814	0	1	02	01	H6750_814_0	1	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H6759	001	0	1	20	08	H6759_001_0	2																																																																			
H6759	002	0	1	20	08	H6759_002_0	2																																																																			
H6765	001	0	1	01	01	H6765_001_0	5	2								1	11	20	20	20	20	2	2				2							1	1	2											2	2	32	3		1			000011		2				2				2			2		1	0.00	0.00	2	2
H6776	001	0	1	01	01	H6776_001_0	8	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6776	002	0	1	01	01	H6776_002_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6787	001	0	1	20	08	H6787_001_0	1																																																																			
H6787	002	0	1	20	08	H6787_002_0	1																																																																			
H6813	001	0	1	04	01	H6813_001_0	10	2								1	10			20	20	2	2				1	01	265.00	265.00			2	1	2																																							
H6813	002	0	1	04	01	H6813_002_0	10	2								1	10			20	20	2	2				1	01	265.00	265.00			2	1	2																																							
H6815	037	0	1	01	01	H6815_037_0	7	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H6815	038	0	1	01	01	H6815_038_0	7	2								2							2				1	11	310.00	310.00	310.00	310.00	2	1	2																																							
H6815	039	0	1	01	01	H6815_039_0	7	2								2							2				1	11	310.00	310.00	310.00	310.00	2	1	2																																							
H6830	001	0	1	04	01	H6830_001_0	19	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H6832	001	0	1	01	01	H6832_001_0	12	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6832	002	0	1	01	01	H6832_002_0	11	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H6832	003	0	1	02	01	H6832_003_0	8	2								1	11	20	20	20	20	2	2				2							1	1	2											2	2	50	3		1			011011		2				2				2			2		2			2	2
H6846	001	0	1	20	08	H6846_001_0	1																																																																			
H6846	002	0	1	20	08	H6846_002_0	1																																																																			
H6847	001	0	1	02	01	H6847_001_0	11	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	2																																							
H6847	801	0	1	02	01	H6847_801_0	7	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6851	001	0	1	01	01	H6851_001_0	9	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6851	002	0	1	01	01	H6851_002_0	8	2								1	10			50	50	2	2				1	01	295.00	295.00			2	1	2																																							
H6851	003	0	1	01	01	H6851_003_0	8	2								1	10			50	50	2	2				1	01	295.00	295.00			2	1	2																																							
H6851	004	0	1	01	01	H6851_004_0	8	2								1	10			50	50	2	2				1	01	295.00	295.00			2	1	2																																							
H6852	001	0	1	01	01	H6852_001_0	11	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H6852	002	0	1	01	01	H6852_002_0	10	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H6868	001	0	1	20	08	H6868_001_0	1																																																																			
H6868	002	0	1	20	08	H6868_002_0	1																																																																			
H6870	001	0	1	48	05	H6870_001_0	15	2								2							2				2							1	2																																							
H6874	001	0	1	04	01	H6874_001_0	13	2								2							2				1	11	300.00	300.00	300.00	300.00	2	2	2																																							
H6874	003	0	1	04	01	H6874_003_0	6	2								2							2				1	11	200.00	200.00	200.00	200.00	2	2	2																																							
H6876	001	0	1	04	01	H6876_001_0	12	2								1	10			20	20	2	2				1	01	225.00	225.00			2	1	1	1	2	2	36	3		1			111010	Mode of Transportation will be taxi, rideshare services, van and wheelchair accessible vehicles.											2				2				2			2		1	0.00	0.00	2	2
H6876	002	0	1	04	01	H6876_002_0	11	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			111010	Mode of Transportation will be taxi, rideshare services, van and wheelchair accessible vehicles.											2				2				2			2		1	0.00	0.00	2	2
H6876	003	0	1	04	01	H6876_003_0	10	2								1	10			20	20	2	2				1	01	225.00	225.00			2	1	1	1	2	2	48	3		1			111010	Mode of Transportation will be taxi, rideshare services, van and wheelchair accessible vehicles.											2				2				2			2		1	0.00	0.00	2	2
H6876	004	0	1	04	01	H6876_004_0	8	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	12	3		1			111010	Mode of Transportation will be taxi, rideshare services, van and wheelchair accessible vehicles.											2				2				2			2		1	0.00	0.00	2	2
H6876	005	0	1	04	01	H6876_005_0	7	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	2	36	3		1			111010	Mode of Transportation will be taxi, rideshare services, van and wheelchair accessible vehicles.											2				2				2			2		1	0.00	0.00	2	2
H6876	006	0	1	04	01	H6876_006_0	9	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			111010	Mode of Transportation will be taxi, rideshare services, van and wheelchair accessible vehicles.											2				2				2			2		1	0.00	0.00	2	2
H6876	801	0	1	04	01	H6876_801_0	6	2								1	11	20	20	20	20	2	2				2							2	2																																							
H6876	802	0	1	04	01	H6876_802_0	7	2								1	11	20	20	20	20	2	2				2							2	2																																							
H6876	803	0	1	04	01	H6876_803_0	6	2								1	11	20	20	20	20	2	2				2							2	2																																							
H6876	804	0	1	04	01	H6876_804_0	6	2								1	11	20	20	20	20	2	2				2							2	2																																							
H6887	001	0	1	20	08	H6887_001_0	1																																																																			
H6887	002	0	1	20	08	H6887_002_0	1																																																																			
H6891	001	0	1	01	01	H6891_001_0	5	2								1	11	20	20	20	20	2	2				2							1	1	2											2	2	36	3		1			000011		2				2				2			2		1	0.00	0.00	2	2
H6898	001	0	1	04	01	H6898_001_0	9	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H6898	002	0	1	04	01	H6898_002_0	10	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	2																																							
H6898	003	0	1	04	01	H6898_003_0	7	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	2																																							
H6898	801	0	1	04	01	H6898_801_0	6	2								1	11	20	20	20	20	2	2				2							2	2																																							
H6898	802	0	1	04	01	H6898_802_0	6	2								1	11	20	20	20	20	2	2				2							2	2																																							
H6898	803	0	1	04	01	H6898_803_0	6	2								1	11	20	20	20	20	2	2				2							2	2																																							
H6898	804	0	1	04	01	H6898_804_0	6	2								1	11	20	20	20	20	2	2				2							2	2																																							
H6910	001	0	1	01	01	H6910_001_0	8	2								2							2				1	11	250.00	250.00	300.00	300.00	2	1	2																																							
H6910	004	0	1	01	01	H6910_004_0	6	2								2							2				1	11	225.00	225.00	275.00	275.00	2	1	2																																							
H6910	005	0	1	01	01	H6910_005_0	8	2								2							2				1	11	275.00	275.00	325.00	325.00	2	1	2																																							
H6910	801	0	1	01	01	H6910_801_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6910	802	0	1	01	01	H6910_802_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6941	001	0	1	20	08	H6941_001_0	1																																																																			
H6941	002	0	1	20	08	H6941_002_0	1																																																																			
H6959	001	0	1	01	01	H6959_001_0	6	2								1	11	20	20	20	20	2	2				2							1	2																																							
H6959	002	0	1	01	01	H6959_002_0	8	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H6975	002	0	1	01	01	H6975_002_0	20	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H6975	003	0	1	01	01	H6975_003_0	7	2								2							2				1	11	315.00	315.00	315.00	315.00	2	1	1	1	2	2	48	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H6975	004	0	1	01	01	H6975_004_0	20	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H6975	005	0	1	01	01	H6975_005_0	20	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H6975	007	0	1	01	01	H6975_007_0	20	2								2							2				1	11	315.00	315.00	315.00	315.00	2	1	1	1	2	2	48	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H6988	001	0	1	01	01	H6988_001_0	10	2								2							2				1	11	200.00	200.00	200.00	200.00	1	1	1	1	2	2	6	5		1			000111												2				2				2			2		2			1	2
H6988	002	0	1	01	01	H6988_002_0	10	2								1	11	20	20	20	20	1	2				2							1	1	1	2	2	10	5		1			000111												2				2				2			2		2			1	2
H6988	003	0	1	01	01	H6988_003_0	10	2								1	11	20	20	20	20	1	2				2							1	1	1	2	2	4	7		1			000111												2				2				2			2		2			1	2
H6988	004	0	1	01	01	H6988_004_0	10	2								1	11	20	20	20	20	1	2				2							1	2																																							
H7003	001	0	1	20	08	H7003_001_0	1																																																																			
H7003	002	0	1	20	08	H7003_002_0	1																																																																			
H7006	003	0	1	04	01	H7006_003_0	7	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			2	2
H7006	007	0	1	04	01	H7006_007_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			2	2
H7006	010	0	1	04	01	H7006_010_0	9	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			2	2
H7006	011	0	1	04	01	H7006_011_0	13	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			2	2
H7006	014	0	1	04	01	H7006_014_0	12	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			2	2
H7006	015	0	1	04	01	H7006_015_0	12	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			2	2
H7006	016	0	1	04	01	H7006_016_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			2	2
H7006	017	0	1	04	01	H7006_017_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			2	2
H7006	018	0	1	04	01	H7006_018_0	11	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	12	3		1			011011												2				2				2			2		2			2	2
H7006	019	0	1	04	01	H7006_019_0	11	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	12	3		1			011011												2				2				2			2		2			2	2
H7006	020	0	1	04	01	H7006_020_0	11	2								2							2				2							1	2																																							
H7006	021	0	1	04	01	H7006_021_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			2	2
H7020	004	0	1	01	01	H7020_004_0	7	2								1	10			20	20	2	2				1	01	270.00	270.00			2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			1	2
H7020	005	0	1	01	01	H7020_005_0	5	2								1	10			20	20	2	2				1	01	270.00	270.00			2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			1	2
H7020	006	0	1	01	01	H7020_006_0	7	2								1	10			20	20	2	2				1	01	270.00	270.00			2	1	2																																							
H7020	008	0	1	01	01	H7020_008_0	7	2								1	10			20	20	2	2				1	01	270.00	270.00			2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			1	2
H7020	009	0	1	01	01	H7020_009_0	7	2								1	10			20	20	2	2				1	01	290.00	290.00			2	1	2																																							
H7020	801	0	1	01	01	H7020_801_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7027	001	0	1	20	08	H7027_001_0	1																																																																			
H7027	002	0	1	20	08	H7027_002_0	1																																																																			
H7028	001	0	1	04	01	H7028_001_0	11	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H7028	002	0	1	04	01	H7028_002_0	11	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H7063	001	0	1	04	01	H7063_001_0	7	2								2							2				1	11	270.00	270.00	270.00	270.00	2	2	2																																							
H7063	006	0	1	04	01	H7063_006_0	7	2								2							2				1	11	270.00	270.00	270.00	270.00	2	2	2																																							
H7063	007	0	1	04	01	H7063_007_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	2																																							
H7063	012	0	1	04	01	H7063_012_0	6	2								2							2				1	11	270.00	270.00	270.00	270.00	2	2	2																																							
H7063	013	0	1	04	01	H7063_013_0	4	2								2							2				1	11	265.00	265.00	265.00	265.00	2	2	2																																							
H7063	801	0	1	04	01	H7063_801_0	1	2								1	11	20	20	20	20	2	2				2							2	2																																							
H7063	802	0	1	04	01	H7063_802_0	1	2								1	11	20	20	20	20	2	2				2							2	2																																							
H7074	001	0	1	04	01	H7074_001_0	11	2								2							2				1	11	250.00	250.00	250.00	250.00	1	1	2																																							
H7074	801	0	1	04	01	H7074_801_0	2	2								2							2				1	11	250.00	250.00	250.00	250.00	1	1	2																																							
H7074	802	0	1	04	01	H7074_802_0	2	2								2							2				1	11	250.00	250.00	250.00	250.00	1	1	2																																							
H7074	803	0	1	04	01	H7074_803_0	2	2								2							2				1	11	250.00	250.00	250.00	250.00	1	1	2																																							
H7074	804	0	1	04	01	H7074_804_0	2	2								2							2				1	11	250.00	250.00	250.00	250.00	1	1	2																																							
H7093	001	0	1	04	01	H7093_001_0	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H7093	002	0	1	04	01	H7093_002_0	8	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H7114	001	0	1	20	08	H7114_001_0	1																																																																			
H7114	002	0	1	20	08	H7114_002_0	1																																																																			
H7115	001	0	1	01	01	H7115_001_0	5	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	20	3		1			011111												2				2				2			2		2			2	2
H7115	004	0	1	01	01	H7115_004_0	5	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	20	3		1			011111												2				2				2			2		2			2	2
H7115	005	0	1	01	01	H7115_005_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			011111												2				2				2			2		2			2	2
H7115	006	0	1	01	01	H7115_006_0	4	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	20	3		1			011111												2				2				2			2		2			2	2
H7115	805	0	1	01	01	H7115_805_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7115	806	0	1	01	01	H7115_806_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7115	807	0	1	01	01	H7115_807_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7123	001	0	1	01	01	H7123_001_0	9	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	20	3		1			100011	Other modes of transportation include wheelchair vans as well as vehicles that are contracted with various vendors.											2				2				2			2		2			1	2
H7147	001	0	1	02	01	H7147_001_0	11	2								2							2				1	11	270.00	270.00	290.00	290.00	2	1	2																																							
H7147	003	0	1	02	01	H7147_003_0	12	2								1	11	40	40	40	40	2	2				2							1	2																																							
H7147	004	0	1	02	01	H7147_004_0	11	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H7147	005	0	1	02	01	H7147_005_0	10	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	2																																							
H7147	007	0	1	02	01	H7147_007_0	12	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H7149	001	0	1	02	01	H7149_001_0	7	2								2							2				1	11	335.00	335.00	335.00	335.00	2	1	2																																							
H7149	006	0	1	01	01	H7149_006_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	50	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H7149	007	0	1	02	01	H7149_007_0	4	2								2							2				1	11	320.00	320.00	320.00	320.00	2	1	2																																							
H7149	008	0	1	02	01	H7149_008_0	7	2								2							2				1	11	335.00	335.00	335.00	335.00	2	1	2																																							
H7149	009	0	1	02	01	H7149_009_0	7	2								2							2				1	11	335.00	335.00	335.00	335.00	2	1	2																																							
H7149	801	0	1	01	01	H7149_801_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7149	802	0	1	01	01	H7149_802_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7151	001	0	1	01	01	H7151_001_0	11	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	12	3		1			001011												2				2				2			2		2			2	2
H7151	003	0	1	01	01	H7151_003_0	11	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H7163	002	0	1	02	01	H7163_002_0	6	2								2							2				1	11	250.00	250.00	260.00	260.00	2	1	2																																							
H7163	003	0	1	02	01	H7163_003_0	8	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	84	3		1			000011												2				2				2			2		2			2	2
H7163	004	0	1	02	01	H7163_004_0	6	2								2							2				1	11	250.00	250.00	260.00	260.00	2	1	2																																							
H7163	005	0	1	02	01	H7163_005_0	6	2								2							2				1	11	250.00	250.00	300.00	300.00	2	1	2																																							
H7163	801	0	1	02	01	H7163_801_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7165	001	0	1	01	01	H7165_001_0	7	2								2							2				1	11	285.00	285.00	285.00	285.00	2	2	1	2											2	2	24	3		1			011110		2				2				2			2		2			2	2
H7165	002	0	1	01	01	H7165_002_0	6	2								2							2				1	11	285.00	285.00	285.00	285.00	2	2	1	2											2	2	24	3		1			011110		2				2				2			2		2			2	2
H7165	805	0	1	01	01	H7165_805_0	2	2								1	11	20	20	20	20	2	2				2							2	2																																							
H7165	806	0	1	01	01	H7165_806_0	2	2								1	11	20	20	20	20	2	2				2							2	2																																							
H7169	001	0	1	04	01	H7169_001_0	20	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H7169	003	0	1	04	01	H7169_003_0	20	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H7172	001	0	1	48	05	H7172_001_0	3	2								2							2				2							1	1	1	2	2	30	3		2			011111												2				2				2			2		2			1	2
H7175	001	0	1	04	01	H7175_001_0	17	2								2							2				1	11	325.00	325.00	325.00	325.00	2	1	2																																							
H7175	002	0	1	04	01	H7175_002_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H7175	003	0	1	04	01	H7175_003_0	7	2								2							2				1	11	280.00	280.00	280.00	280.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H7175	004	0	1	04	01	H7175_004_0	17	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H7175	005	0	1	04	01	H7175_005_0	14	2								2							2				1	11	280.00	280.00	280.00	280.00	2	1	2																																							
H7195	001	0	1	20	08	H7195_001_0	1																																																																			
H7195	002	0	1	20	08	H7195_002_0	1																																																																			
H7199	001	0	1	04	01	H7199_001_0	10	2								1	10			20	20	2	2				1	01	285.00	285.00			2	1	2																																							
H7199	002	0	1	04	01	H7199_002_0	11	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	2																																							
H7220	002	0	1	01	01	H7220_002_0	2	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	1	1	2	2	24	3		1			001011												2				2				2			2		2			2	2
H7220	004	0	1	02	01	H7220_004_0	4	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	1	1	2	2	24	3		1			001011												2				2				2			2		2			2	2
H7220	009	1	1	01	01	H7220_009_1	3	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	1	1	2	2	24	3		1			001011												2				2				2			2		2			2	2
H7220	009	2	1	01	01	H7220_009_2	3	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	1	1	2	2	24	3		1			001011												2				2				2			2		2			2	2
H7220	009	3	1	01	01	H7220_009_3	3	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	1	1	2	2	24	3		1			001011												2				2				2			2		2			2	2
H7220	010	0	1	01	01	H7220_010_0	3	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	1	1	2	2	24	3		1			001011												2				2				2			2		2			2	2
H7220	011	0	1	02	01	H7220_011_0	3	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	1	1	2	2	24	3		1			001011												2				2				2			2		2			2	2
H7220	012	0	1	01	01	H7220_012_0	3	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	1	1	2	2	24	3		1			001011												2				2				2			2		2			2	2
H7220	806	0	1	02	01	H7220_806_0	2	2								1	11	20	20	20	20	2	2				2							2	2																																							
H7220	807	0	1	02	01	H7220_807_0	2	2								1	11	20	20	20	20	2	2				2							2	2																																							
H7220	808	0	1	01	01	H7220_808_0	2	2								1	11	20	20	20	20	2	2				2							2	2																																							
H7220	809	0	1	01	01	H7220_809_0	2	2								1	11	20	20	20	20	2	2				2							2	2																																							
H7245	001	0	1	01	01	H7245_001_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H7245	002	0	1	01	01	H7245_002_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H7245	005	0	1	01	01	H7245_005_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H7262	001	0	1	20	08	H7262_001_0	2																																																																			
H7262	002	0	1	20	08	H7262_002_0	2																																																																			
H7273	001	0	1	04	01	H7273_001_0	10	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H7273	002	0	1	04	01	H7273_002_0	9	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H7273	005	0	1	04	01	H7273_005_0	9	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H7284	001	0	1	04	01	H7284_001_0	5	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	2																																							
H7284	003	0	1	04	01	H7284_003_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	4	3		1			111010	Services arranged by the plan's transportation provider to approved locations by means of car, van, or wheelchair access vehicle that provide members access to health benefits.											2				2				2			2		1	0.00	0.00	1	2
H7284	006	0	1	04	01	H7284_006_0	5	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	2																																							
H7284	007	0	1	04	01	H7284_007_0	5	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	2																																							
H7284	008	0	1	04	01	H7284_008_0	5	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	2																																							
H7284	009	0	1	04	01	H7284_009_0	11	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	2																																							
H7284	010	0	1	04	01	H7284_010_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			101010	Car, Wheelchair access vehicle.											2				2				2			2		1	0.00	0.00	1	2
H7301	002	0	1	04	01	H7301_002_0	7	2								2							2				1	11	290.00	290.00	330.00	330.00	2	1	2																																							
H7301	006	0	1	04	01	H7301_006_0	7	2								2							2				1	11	330.00	330.00	375.00	375.00	2	1	2																																							
H7301	007	0	1	04	01	H7301_007_0	8	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	2																																							
H7301	009	0	1	04	01	H7301_009_0	8	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H7301	013	0	1	04	01	H7301_013_0	8	2								2							2				1	11	275.00	275.00	350.00	350.00	2	1	2																																							
H7301	014	0	1	04	01	H7301_014_0	7	2								2							2				1	11	275.00	275.00	350.00	350.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H7301	015	0	1	04	01	H7301_015_0	7	2								2							2				1	11	275.00	275.00	350.00	350.00	2	1	2																																							
H7301	016	0	1	04	01	H7301_016_0	7	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H7301	017	0	1	04	01	H7301_017_0	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H7301	021	0	1	04	01	H7301_021_0	7	2								2							2				1	11	330.00	330.00	375.00	375.00	2	1	2																																							
H7301	801	0	1	04	01	H7301_801_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7301	803	0	1	04	01	H7301_803_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7323	002	0	1	04	01	H7323_002_0	17	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H7323	003	0	1	04	01	H7323_003_0	17	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H7323	005	0	1	04	01	H7323_005_0	17	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H7323	006	0	1	04	01	H7323_006_0	17	2								2							2				1	11	285.00	285.00	285.00	285.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H7323	007	0	1	04	01	H7323_007_0	17	2								2							2				1	11	245.00	245.00	245.00	245.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H7323	009	0	1	04	01	H7323_009_0	17	2								2							2				1	11	280.00	280.00	280.00	280.00	2	1	2																																							
H7323	010	0	1	04	01	H7323_010_0	6	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H7323	011	0	1	04	01	H7323_011_0	18	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H7323	012	0	1	04	01	H7323_012_0	17	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H7326	001	0	1	04	01	H7326_001_0	18	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H7326	003	0	1	04	01	H7326_003_0	18	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	2																																							
H7326	006	0	1	04	01	H7326_006_0	9	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H7326	007	0	1	04	01	H7326_007_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H7330	001	0	1	01	01	H7330_001_0	9	2								1	10			20	20	2	2				1	01	175.00	175.00			2	1	1	1	2	2	24	3		1			111010	Mode of Transportation will be taxi, rideshare services, van and wheelchair accessible vehicles.											2				2				2			2		1	0.00	0.00	2	2
H7330	003	0	1	01	01	H7330_003_0	10	2								1	10			20	20	2	2				1	01	175.00	175.00			2	1	1	1	2	2	30	3		1			111010	Mode of Transportation will be taxi, rideshare services, van and wheelchair accessible vehicles.											2				2				2			2		1	0.00	0.00	2	2
H7330	004	0	1	01	01	H7330_004_0	9	2								1	10			20	20	2	2				1	01	175.00	175.00			2	1	1	1	2	2	36	3		1			111010	Mode of Transportation will be taxi, rideshare services, van and wheelchair accessible vehicles.											2				2				2			2		1	0.00	0.00	2	2
H7330	007	0	1	01	01	H7330_007_0	9	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			111010	Mode of Transportation will be taxi, rideshare services, van and wheelchair accessible vehicles.											2				2				2			2		1	0.00	0.00	2	2
H7330	801	0	1	01	01	H7330_801_0	6	2								1	11	20	20	20	20	2	2				2							2	2																																							
H7330	802	0	1	01	01	H7330_802_0	5	2								1	11	20	20	20	20	2	2				2							2	2																																							
H7330	803	0	1	01	01	H7330_803_0	6	2								1	11	20	20	20	20	2	2				2							2	2																																							
H7330	804	0	1	01	01	H7330_804_0	6	2								1	11	20	20	20	20	2	2				2							2	2																																							
H7360	001	0	1	04	01	H7360_001_0	19	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H7366	001	0	1	20	08	H7366_001_0	1																																																																			
H7366	002	0	1	20	08	H7366_002_0	1																																																																			
H7379	801	0	1	04	01	H7379_801_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7379	802	0	1	04	01	H7379_802_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7379	803	0	1	04	01	H7379_803_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7379	804	0	1	04	01	H7379_804_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7389	001	0	1	01	01	H7389_001_0	8	2								1	10			20	20	2	2				1	01	170.00	170.00			2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			1	2
H7389	002	0	1	01	01	H7389_002_0	8	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	10	3		1			011011												2				2				2			2		2			1	2
H7389	003	0	1	01	01	H7389_003_0	7	2								1	10			20	20	2	2				1	01	230.00	230.00			2	1	1	1	2	2	10	3		1			011011												2				2				2			2		2			1	2
H7389	004	0	1	01	01	H7389_004_0	7	2								1	10			20	20	2	2				1	01	225.00	225.00			2	1	1	1	2	2	10	3		1			011011												2				2				2			2		2			1	2
H7389	008	0	1	01	01	H7389_008_0	7	2								1	10			20	20	2	2				1	01	200.00	200.00			2	1	1	1	2	2	30	3		1			011011												2				2				2			2		2			1	2
H7389	009	0	1	01	01	H7389_009_0	8	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			011011												2				2				2			2		2			1	2
H7389	010	0	1	01	01	H7389_010_0	8	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			011011												2				2				2			2		2			1	2
H7389	011	0	1	01	01	H7389_011_0	8	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			1	2
H7399	001	0	1	01	01	H7399_001_0	9	2								2							2				1	11	305.00	305.00	305.00	305.00	2	1	2																																							
H7404	001	0	1	04	01	H7404_001_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H7404	002	0	1	04	01	H7404_002_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H7404	004	0	1	04	01	H7404_004_0	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H7404	005	0	1	04	01	H7404_005_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H7404	006	0	1	04	01	H7404_006_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H7404	011	0	1	04	01	H7404_011_0	4	2								2							2				1	11	210.00	210.00	210.00	210.00	2	1	2																																							
H7404	012	0	1	04	01	H7404_012_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H7404	014	0	1	04	01	H7404_014_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H7404	015	0	1	04	01	H7404_015_0	4	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H7404	018	0	1	04	01	H7404_018_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H7404	019	0	1	04	01	H7404_019_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H7404	020	0	1	04	01	H7404_020_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H7404	021	0	1	04	01	H7404_021_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H7404	022	0	1	04	01	H7404_022_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H7404	023	0	1	04	01	H7404_023_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H7404	024	0	1	04	01	H7404_024_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H7404	025	0	1	04	01	H7404_025_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H7419	001	0	1	48	05	H7419_001_0	2	2								2							2				2							1	1	1	2	1				5	Taxi,Van,Medical Transport,Other- Describe		110011	Wheelchair Van Services, Car Service											2				2				2			2		2			2	2
H7464	001	0	1	02	01	H7464_001_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H7464	005	0	1	02	01	H7464_005_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			000010												2				2				2			2		1	0.00	0.00	2	2
H7464	006	0	1	02	01	H7464_006_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H7464	007	0	1	02	01	H7464_007_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H7464	008	1	1	02	01	H7464_008_1	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H7464	008	2	1	02	01	H7464_008_2	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H7464	010	0	1	01	01	H7464_010_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7464	011	0	1	02	01	H7464_011_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H7464	012	0	1	02	01	H7464_012_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H7464	013	0	1	02	01	H7464_013_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H7469	001	0	1	20	08	H7469_001_0	1																																																																			
H7469	002	0	1	20	08	H7469_002_0	1																																																																			
H7501	001	0	1	20	08	H7501_001_0	1																																																																			
H7501	002	0	1	20	08	H7501_002_0	2																																																																			
H7511	001	0	1	01	01	H7511_001_0	7	2								1	11	20	20	20	20	2	2				2							2	1	1	2	2	26	3		1			010111												2				2				2			2		2			2	2
H7511	002	0	1	01	01	H7511_002_0	8	2								1	10			20	20	2	2				1	01	150.00	150.00			2	2	1	1	2	2	32	3		1			010111												2				2				2			2		2			2	2
H7512	801	0	1	04	01	H7512_801_0	12	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7518	001	0	1	04	01	H7518_001_0	18	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H7518	002	0	1	04	01	H7518_002_0	16	2								2							2				1	11	240.00	240.00	240.00	240.00	2	1	2																																							
H7518	003	0	1	04	01	H7518_003_0	19	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			011010												2				2				2			2		1	0.00	0.00	1	2
H7518	004	0	1	04	01	H7518_004_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H7522	801	0	1	04	01	H7522_801_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7522	802	0	1	04	01	H7522_802_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7522	804	0	1	04	01	H7522_804_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7522	805	0	1	04	01	H7522_805_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7522	806	0	1	04	01	H7522_806_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7522	807	0	1	04	01	H7522_807_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7522	808	0	1	04	01	H7522_808_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7522	809	0	1	04	01	H7522_809_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7522	810	0	1	04	01	H7522_810_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7522	811	0	1	04	01	H7522_811_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7522	812	0	1	04	01	H7522_812_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7522	813	0	1	04	01	H7522_813_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7524	001	0	1	01	01	H7524_001_0	6	2								1	11	20	20	20	20	2	2				2							1	1	2											2	2	24	3		1			001011		2				2				2			2		2			2	2
H7524	002	0	1	01	01	H7524_002_0	7	2								1	11	20	20	20	20	2	2				2							1	1	2											2	2	24	3		1			001011		2				2				2			2		2			2	2
H7524	003	0	1	01	01	H7524_003_0	6	2								1	11	20	20	20	20	2	2				2							1	1	2											2	2	24	3		1			001011		2				2				2			2		2			2	2
H7524	004	0	1	01	01	H7524_004_0	7	2								1	11	20	20	20	20	2	2				2							1	1	2											2	2	24	3		1			001011		2				2				2			2		2			2	2
H7557	001	0	1	01	01	H7557_001_0	8	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	16	3		1			010111												2				2				2			2		2			2	2
H7559	001	0	1	01	01	H7559_001_0	9	2								1	11	20	20	20	20	2	2				2							1	1	2											2	2	60	3		1			111111	Other transportation could include a sedan, van, taxi, wheelchair lift-equipped vehicle, stretcher van services, rideshare.	2				2				2			2		2			1	2
H7559	002	0	1	01	01	H7559_002_0	9	2								1	11	20	20	20	20	2	2				2							1	1	2											2	1				1			011111		1	75.00	5		2				2			2		2			1	2
H7559	003	0	1	01	01	H7559_003_0	11	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			111111	Members receive a debit card (Flex Card) with an allowance every 3 months without carryover to obtain Transportation services. At the end of each quarter any unused allowance amount does not roll over											1	75.00	5		2				2			2		2			2	2
H7598	003	0	1	01	01	H7598_003_0	9	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	40	3		1			011011												2				2				2			2		2			1	2
H7605	001	0	1	01	01	H7605_001_0	11	2								1	10			20	20	2	2				1	01	270.00	270.00			2	1	2																																							
H7605	002	0	1	01	01	H7605_002_0	10	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H7605	003	0	1	01	01	H7605_003_0	11	2								1	10			20	20	2	2				1	01	265.00	265.00			2	1	2																																							
H7605	004	0	1	01	01	H7605_004_0	11	2								1	10			20	20	2	2				1	01	290.00	290.00			2	1	2																																							
H7605	005	0	1	01	01	H7605_005_0	10	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H7605	006	0	1	01	01	H7605_006_0	11	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H7605	007	0	1	01	01	H7605_007_0	11	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H7605	008	0	1	01	01	H7605_008_0	10	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H7605	009	0	1	01	01	H7605_009_0	11	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H7605	010	0	1	01	01	H7605_010_0	11	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H7607	002	1	1	01	01	H7607_002_1	15	2								1	10			20	20	2	2				1	01	40.00	40.00			2	1	1	1	2	2	24	3		1			001001												2				2				2			2		2			2	2
H7607	002	2	1	01	01	H7607_002_2	15	2								1	10			20	20	2	2				1	01	40.00	40.00			2	1	1	1	2	2	24	3		1			001001												2				2				2			2		2			2	2
H7607	002	3	1	01	01	H7607_002_3	15	2								1	10			20	20	2	2				1	01	40.00	40.00			2	1	1	1	2	2	24	3		1			001001												2				2				2			2		2			2	2
H7607	002	4	1	01	01	H7607_002_4	15	2								1	10			20	20	2	2				1	01	40.00	40.00			2	1	1	1	2	2	24	3		1			001001												2				2				2			2		2			2	2
H7607	002	5	1	01	01	H7607_002_5	15	2								1	10			20	20	2	2				1	01	40.00	40.00			2	1	1	1	2	2	24	3		1			001001												2				2				2			2		2			2	2
H7607	007	1	1	01	01	H7607_007_1	16	2								1	10			20	20	2	2				1	01	75.00	75.00			2	1	1	1	2	2	16	3		1			001001												2				2				2			2		2			2	2
H7607	007	2	1	01	01	H7607_007_2	16	2								1	10			20	20	2	2				1	01	75.00	75.00			2	1	1	1	2	2	16	3		1			001001												2				2				2			2		2			2	2
H7607	007	3	1	01	01	H7607_007_3	16	2								1	10			20	20	2	2				1	01	75.00	75.00			2	1	1	1	2	2	16	3		1			001001												2				2				2			2		2			2	2
H7607	007	4	1	01	01	H7607_007_4	16	2								1	10			20	20	2	2				1	01	75.00	75.00			2	1	1	1	2	2	16	3		1			001001												2				2				2			2		2			2	2
H7607	007	5	1	01	01	H7607_007_5	16	2								1	10			20	20	2	2				1	01	75.00	75.00			2	1	1	1	2	2	16	3		1			001001												2				2				2			2		2			2	2
H7607	008	1	1	01	01	H7607_008_1	16	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	2	16	3		1			001001												2				2				2			2		2			2	2
H7607	008	2	1	01	01	H7607_008_2	16	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	2	16	3		1			001001												2				2				2			2		2			2	2
H7607	008	3	1	01	01	H7607_008_3	16	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	2	16	3		1			001001												2				2				2			2		2			2	2
H7607	008	4	1	01	01	H7607_008_4	16	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	2	16	3		1			001001												2				2				2			2		2			2	2
H7607	008	5	1	01	01	H7607_008_5	16	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	1	1	2	2	16	3		1			001001												2				2				2			2		2			2	2
H7607	011	1	1	01	01	H7607_011_1	16	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			001001												2				2				2			2		2			2	2
H7607	011	2	1	01	01	H7607_011_2	16	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			001001												2				2				2			2		2			2	2
H7607	011	4	1	01	01	H7607_011_4	16	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			001001												2				2				2			2		2			2	2
H7607	011	5	1	01	01	H7607_011_5	16	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			001001												2				2				2			2		2			2	2
H7617	801	0	1	04	01	H7617_801_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7617	802	0	1	04	01	H7617_802_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7617	803	0	2	04	01	H7617_803_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7617	804	0	2	04	01	H7617_804_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7617	805	0	1	04	01	H7617_805_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7617	806	0	1	04	01	H7617_806_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7617	807	0	1	04	01	H7617_807_0	6	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7617	808	0	1	04	01	H7617_808_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7617	811	0	1	04	01	H7617_811_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7617	812	0	1	04	01	H7617_812_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7617	817	0	1	04	01	H7617_817_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7617	818	0	1	04	01	H7617_818_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7619	001	0	1	20	08	H7619_001_0	2																																																																			
H7619	002	0	1	20	08	H7619_002_0	2																																																																			
H7621	002	0	1	01	01	H7621_002_0	4	2								1	10			20	20	2	2				1	01	195.00	195.00			2	1	2																																							
H7621	003	0	1	01	01	H7621_003_0	4	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H7646	001	0	1	02	01	H7646_001_0	5	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	20	3		1			100000	The appropriate mode of transportation will be selected by the transportation vendor. Options include car, van, or wheelchair assisted vehicle.											2				2				2			2		2			2	2
H7646	002	0	1	02	01	H7646_002_0	5	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	20	3		1			100000	The appropriate mode of transportation will be selected by the transportation vendor. Options include car, van, or wheelchair assisted vehicle.											2				2				2			2		2			2	2
H7646	004	0	1	02	01	H7646_004_0	5	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	30	3		1			100000	The appropriate mode of transportation will be selected by the transportation vendor. Options include car, van, or wheelchair assisted vehicle.											2				2				2			2		2			2	2
H7646	005	0	1	02	01	H7646_005_0	5	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	30	3		1			100000	The appropriate mode of transportation will be selected by the transportation vendor. Options include car, van, or wheelchair assisted vehicle.											2				2				2			2		2			2	2
H7646	007	0	1	02	01	H7646_007_0	5	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	20	3		1			100000	The appropriate mode of transportation will be selected by the transportation vendor. Options include car, van, or wheelchair assisted vehicle.											2				2				2			2		2			2	2
H7646	008	0	1	02	01	H7646_008_0	5	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	30	3		1			100000	The appropriate mode of transportation will be selected by the transportation vendor. Options include car, van, or wheelchair assisted vehicle.											2				2				2			2		2			2	2
H7646	801	0	1	02	01	H7646_801_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7646	802	0	1	02	01	H7646_802_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7646	803	0	1	02	01	H7646_803_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7646	804	0	1	02	01	H7646_804_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7646	805	0	1	02	01	H7646_805_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7656	001	0	1	20	08	H7656_001_0	2																																																																			
H7656	002	0	1	20	08	H7656_002_0	2																																																																			
H7660	001	0	1	20	08	H7660_001_0	1																																																																			
H7660	002	0	1	20	08	H7660_002_0	1																																																																			
H7670	001	0	1	01	01	H7670_001_0	7	2								2							2				1	11	295.00	295.00	295.00	295.00	1	1	1	1	2	2	12	3		1			011001												2				2				2			2		2			1	2
H7670	002	0	1	01	01	H7670_002_0	6	2								2							2				1	11	200.00	200.00	200.00	200.00	1	1	1	1	2	2	12	3		1			011001												2				2				2			2		2			1	2
H7678	001	0	1	01	01	H7678_001_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			111111	Other transportation could include a sedan, van, taxi, wheelchair lift-equipped vehicle, stretcher van services, or rideshare.											2				2				2			2		2			1	2
H7678	004	0	1	01	01	H7678_004_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			111111	Other transportation could include a sedan, van,taxi, wheelchair lift-equipped vehicle, stretchervan services or rideshare.											2				2				2			2		2			1	2
H7678	005	0	1	01	01	H7678_005_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			111111	Other transportation could include a sedan, van,taxi, wheelchair lift-equipped vehicle, stretchervan services or rideshare.											2				2				2			2		2			1	2
H7680	001	0	1	01	01	H7680_001_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	1	1	1	1	2	1				1			011011												2				2				2			2		2			1	2
H7680	002	0	1	01	01	H7680_002_0	8	2								2							2				1	11	275.00	275.00	275.00	275.00	1	1	1	1	2	1				1			011001												2				2				2			2		2			1	2
H7680	007	0	1	01	01	H7680_007_0	7	2								1	11	20	20	20	20	1	2				2							1	1	1	2	1				1			011111												2				2				2			2		2			1	2
H7680	009	0	1	01	01	H7680_009_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	1	1	1	1	2	1				1			011001												2				2				2			2		2			1	2
H7680	011	0	1	01	01	H7680_011_0	6	2								2							2				1	11	150.00	150.00	150.00	150.00	1	1	1	1	2	1				1			011001												2				2				2			2		2			1	2
H7680	012	0	1	01	01	H7680_012_0	6	2								2							2				1	11	325.00	325.00	325.00	325.00	1	1	1	1	2	1				1			011011												2				2				2			2		2			1	2
H7680	014	0	1	01	01	H7680_014_0	7	2								2							2				1	11	325.00	325.00	325.00	325.00	1	1	1	1	2	1				1			011001												2				2				2			2		2			1	2
H7680	801	0	1	01	01	H7680_801_0	3	2								1	11	20	20	20	20	1	2				2							1	2																																							
H7746	001	0	1	01	01	H7746_001_0	6	2								2							2				1	11	220.00	220.00	220.00	220.00	2	1	1	1	2	2	30	3		1			011111												2				2				2			2		2			2	2
H7746	002	0	1	01	01	H7746_002_0	6	2								2							2				1	11	220.00	220.00	220.00	220.00	2	1	1	1	2	2	30	3		1			011111												2				2				2			2		2			2	2
H7746	003	0	1	02	01	H7746_003_0	6	2								2							2				1	11	220.00	220.00	220.00	220.00	2	1	1	1	2	2	30	3		1			011111												2				2				2			2		2			2	2
H7778	001	0	1	01	01	H7778_001_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H7779	001	0	1	01	01	H7779_001_0	6	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7787	001	0	1	04	01	H7787_001_0	7	2								1	10			20	20	2	2				1	01	210.00	210.00			2	1	2																																							
H7787	002	0	1	04	01	H7787_002_0	6	2								1	10			20	20	2	2				1	01	210.00	210.00			2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			1	2
H7787	801	0	1	04	01	H7787_801_0	6	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7787	802	0	1	04	01	H7787_802_0	6	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7787	803	0	1	04	01	H7787_803_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7787	804	0	1	04	01	H7787_804_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7787	805	0	1	04	01	H7787_805_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7787	806	0	1	04	01	H7787_806_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7787	807	0	1	04	01	H7787_807_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7787	808	0	1	04	01	H7787_808_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7787	809	0	1	04	01	H7787_809_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7787	810	0	1	04	01	H7787_810_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7787	811	0	1	04	01	H7787_811_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7787	812	0	1	04	01	H7787_812_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7787	813	0	1	04	01	H7787_813_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7787	814	0	1	04	01	H7787_814_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7787	815	0	1	04	01	H7787_815_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7787	816	0	1	04	01	H7787_816_0	6	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7787	817	0	1	04	01	H7787_817_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7787	818	0	1	04	01	H7787_818_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7787	819	0	1	04	01	H7787_819_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7787	820	0	1	04	01	H7787_820_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7787	821	0	1	04	01	H7787_821_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7787	822	0	1	04	01	H7787_822_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7787	823	0	1	04	01	H7787_823_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7787	824	0	1	04	01	H7787_824_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7813	001	0	1	01	01	H7813_001_0	5	2								1	11	20	20	20	20	2	2				2							2	2																																							
H7831	001	0	1	20	08	H7831_001_0	1																																																																			
H7831	002	0	1	20	08	H7831_002_0	1																																																																			
H7833	001	0	1	48	05	H7833_001_0	4	2								2							2				2							2	1	1	2	2	12	3		1			110011	See notes.											2				2				2			2		2			1	2
H7844	001	0	1	48	05	H7844_001_0	7	2								2							2				2							2	1	2											2	1				2			111111	Other transportation could include a sedan, van, taxi, wheelchair lift-equipped vehicle, stretchervan services or rideshare.	2				2				2			2		2			2	2
H7849	001	0	1	04	01	H7849_001_0	7	2								1	10			20	20	2	2				1	01	150.00	150.00			2	1	2																																							
H7849	002	0	1	04	01	H7849_002_0	7	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H7849	003	0	1	04	01	H7849_003_0	7	2								1	10			20	20	2	2				1	01	265.00	265.00			2	1	1	1	2	2	20	3		1			011011												2				2				2			2		2			1	2
H7849	006	0	1	04	01	H7849_006_0	7	2								1	10			20	20	2	2				1	01	225.00	225.00			2	1	1	1	2	2	10	3		1			011011												2				2				2			2		2			1	2
H7849	013	0	1	04	01	H7849_013_0	7	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	2																																							
H7849	014	0	1	04	01	H7849_014_0	7	2								1	10			20	20	2	2				1	01	290.00	290.00			2	1	2																																							
H7849	015	0	1	04	01	H7849_015_0	7	2								1	10			20	20	2	2				1	01	230.00	230.00			2	1	2																																							
H7849	017	0	1	04	01	H7849_017_0	7	2								1	10			20	20	2	2				1	01	265.00	265.00			2	1	2																																							
H7849	018	0	1	04	01	H7849_018_0	7	2								1	10			20	20	2	2				1	01	255.00	255.00			2	1	2																																							
H7849	020	0	1	04	01	H7849_020_0	7	2								1	10			20	20	2	2				1	01	260.00	260.00			2	1	2																																							
H7849	021	0	1	04	01	H7849_021_0	7	2								1	10			20	20	2	2				1	01	270.00	270.00			2	1	2																																							
H7849	022	0	1	04	01	H7849_022_0	7	2								1	10			20	20	2	2				1	01	285.00	285.00			2	1	2																																							
H7849	023	0	1	04	01	H7849_023_0	7	2								1	10			20	20	2	2				1	01	290.00	290.00			2	1	2																																							
H7849	024	0	1	04	01	H7849_024_0	7	2								1	10			20	20	2	2				1	01	210.00	210.00			2	1	2																																							
H7849	026	0	1	04	01	H7849_026_0	7	2								1	10			20	20	2	2				1	01	170.00	170.00			2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			1	2
H7849	027	0	1	04	01	H7849_027_0	7	2								1	10			20	20	2	2				1	01	195.00	195.00			2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			1	2
H7849	029	0	1	04	01	H7849_029_0	7	2								1	10			20	20	2	2				1	01	160.00	160.00			2	1	1	1	2	2	10	3		1			011011												2				2				2			2		2			1	2
H7849	030	0	1	04	01	H7849_030_0	7	2								1	10			20	20	2	2				1	01	235.00	235.00			2	1	2																																							
H7849	031	0	1	04	01	H7849_031_0	7	2								1	10			20	20	2	2				1	01	195.00	195.00			2	1	1	1	2	2	10	3		1			011011												2				2				2			2		2			1	2
H7849	033	0	1	04	01	H7849_033_0	7	2								1	10			20	20	2	2				1	01	245.00	245.00			2	1	2																																							
H7849	034	0	1	04	01	H7849_034_0	7	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H7849	037	0	1	04	01	H7849_037_0	7	2								1	10			20	20	2	2				1	01	270.00	270.00			2	1	2																																							
H7849	038	0	1	04	01	H7849_038_0	7	2								1	10			20	20	2	2				1	01	260.00	260.00			2	1	2																																							
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H7849	130	0	1	04	01	H7849_130_0	7	2								1	10			20	20	2	2				1	01	245.00	245.00			2	1	2																																							
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H7917	036	0	1	04	01	H7917_036_0	4	2								1	10			20	20	2	2				1	01	295.00	295.00			2	1	2																																							
H7917	037	0	1	04	01	H7917_037_0	4	2								1	10			20	20	2	2				1	01	225.00	225.00			2	1	2																																							
H7917	038	0	1	04	01	H7917_038_0	5	2								1	10			20	20	2	2				1	01	295.00	295.00			2	1	2																																							
H7917	039	0	1	04	01	H7917_039_0	2	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H7917	040	0	1	04	01	H7917_040_0	4	2								1	10			20	20	2	2				1	01	295.00	295.00			2	1	2																																							
H7917	041	0	1	04	01	H7917_041_0	3	2								1	10			20	20	2	2				1	01	295.00	295.00			2	1	1	1	2	2	24	3		1			011010												2				2				2			2		2			2	2
H7917	801	0	1	04	01	H7917_801_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7917	802	0	1	04	01	H7917_802_0	1	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7917	803	0	1	04	01	H7917_803_0	1	2								1	11	20	20	20	20	2	2				2							1	2																																							
H7925	002	0	1	01	01	H7925_002_0	18	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	1				1			011010												2				2				2			2		1	0.00	0.00	1	2
H7993	001	0	1	01	01	H7993_001_0	10	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H7993	002	0	1	01	01	H7993_002_0	11	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H7993	003	0	1	01	01	H7993_003_0	10	2								1	10			20	20	2	2				1	01	265.00	265.00			2	1	1	1	2	2	24	3		1			001011												2				2				2			2		2			2	2
H7993	004	0	1	01	01	H7993_004_0	11	2								1	10			20	20	2	2				1	01	125.00	125.00			2	1	1	1	2	2	36	3		1			001011												2				2				2			2		2			2	2
H7993	005	0	1	01	01	H7993_005_0	11	2								1	10			20	20	2	2				1	01	125.00	125.00			2	1	1	1	2	2	36	3		1			001011												2				2				2			2		2			2	2
H7993	006	0	1	01	01	H7993_006_0	10	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H7993	007	0	1	01	01	H7993_007_0	11	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	2																																							
H7993	008	0	1	01	01	H7993_008_0	10	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	2																																							
H8003	001	0	1	04	01	H8003_001_0	7	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	1	2											2	2	24	3		1			011110		2				2				2			2		2			2	2
H8003	002	0	1	04	01	H8003_002_0	6	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	1	2											2	2	24	3		1			011110		2				2				2			2		2			2	2
H8003	003	0	1	04	01	H8003_003_0	6	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	1	2											2	2	24	3		1			011110		2				2				2			2		2			2	2
H8003	004	0	1	04	01	H8003_004_0	6	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	2																																							
H8003	005	0	1	04	01	H8003_005_0	7	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	2																																							
H8003	006	0	1	04	01	H8003_006_0	8	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	2																																							
H8003	007	0	1	04	01	H8003_007_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	2											2	2	24	3		1			011110		2				2				2			2		2			2	2
H8003	801	0	1	04	01	H8003_801_0	1	2								1	11	20	20	20	20	2	2				2							2	2																																							
H8003	802	0	1	04	01	H8003_802_0	1	2								1	11	20	20	20	20	2	2				2							2	2																																							
H8003	803	0	1	04	01	H8003_803_0	1	2								1	11	20	20	20	20	2	2				2							2	2																																							
H8003	804	0	1	04	01	H8003_804_0	1	2								1	11	20	20	20	20	2	2				2							2	2																																							
H8010	002	0	1	01	01	H8010_002_0	11	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H8010	003	0	1	01	01	H8010_003_0	9	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H8014	001	0	1	04	01	H8014_001_0	9	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	1	1	2	2	12	3		2			011011												2				2				2			2		2			2	2
H8014	002	0	1	04	01	H8014_002_0	10	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	1	1	2	2	12	3		2			011011												2				2				2			2		2			2	2
H8019	002	0	1	02	01	H8019_002_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	2											2	2	24	3		1			001000		2				2				2			2		2			2	2
H8019	003	0	1	02	01	H8019_003_0	4	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			001000												2				2				2			2		2			2	2
H8019	006	0	1	01	01	H8019_006_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	2											2	2	24	3		1			001000		2				2				2			2		2			2	2
H8019	007	0	1	02	01	H8019_007_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	2											2	2	24	3		1			001000		2				2				2			2		2			2	2
H8019	008	0	1	02	01	H8019_008_0	7	2								2							2				2							1	1	2											2	2	24	3		1			001000		2				2				2			2		2			2	2
H8019	801	0	1	01	01	H8019_801_0	1	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8019	802	0	1	01	01	H8019_802_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8019	803	0	1	01	01	H8019_803_0	1	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8019	804	0	1	02	01	H8019_804_0	1	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8019	805	0	1	02	01	H8019_805_0	1	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8019	806	0	1	02	01	H8019_806_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8026	001	0	1	48	05	H8026_001_0	4	2								2							2				2							1	1	2											2	1				2			010111		2				2				2			2		2			1	2
H8046	001	0	1	48	05	H8046_001_0	5	2								2							2				2							1	1	1	2	1				2			010111												2				2				2			2		2			1	2
H8064	002	0	1	04	01	H8064_002_0	7	2								2							2				1	11	350.00	350.00	400.00	400.00	2	1	2																																							
H8064	801	0	1	04	01	H8064_801_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8064	802	0	1	04	01	H8064_802_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8064	803	0	1	04	01	H8064_803_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8067	001	0	1	01	01	H8067_001_0	4	2								1	11	20	20	20	20	2	2				2							2	1	2											2	2	28	3		1			011011		2				2				2			2		2			2	2
H8067	003	0	1	01	01	H8067_003_0	5	2								1	11	20	20	20	20	2	2				2							2	1	2											2	2	28	3		1			011011		2				2				2			2		2			2	2
H8070	001	0	1	04	01	H8070_001_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	2	2																																							
H8070	002	0	1	04	01	H8070_002_0	8	2								2							2				1	11	275.00	275.00	275.00	275.00	2	2	2																																							
H8070	801	0	1	04	01	H8070_801_0	4	2								1	11	20	20	20	20	2	2				2							2	2																																							
H8082	001	0	1	20	08	H8082_001_0	1																																																																			
H8082	002	0	1	20	08	H8082_002_0	1																																																																			
H8093	001	0	1	01	01	H8093_001_0	6	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8093	002	0	1	01	01	H8093_002_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8095	001	0	1	01	01	H8095_001_0	10	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H8095	801	0	1	01	01	H8095_801_0	6	2								1	11	20	20	20	20	2	2				2							2	2																																							
H8095	802	0	1	01	01	H8095_802_0	6	2								1	11	20	20	20	20	2	2				2							2	2																																							
H8095	807	0	1	02	01	H8095_807_0	6	2								1	11	20	20	20	20	2	2				2							2	2																																							
H8095	808	0	1	02	01	H8095_808_0	6	2								1	11	20	20	20	20	2	2				2							2	2																																							
H8096	001	0	1	20	08	H8096_001_0	1																																																																			
H8096	002	0	1	20	08	H8096_002_0	1																																																																			
H8099	001	0	1	20	08	H8099_001_0	1																																																																			
H8099	002	0	1	20	08	H8099_002_0	1																																																																			
H8121	801	0	1	04	01	H8121_801_0	12	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8133	001	0	1	01	01	H8133_001_0	6	2								1	10			20	20	2	2				1	01	295.00	295.00			2	1	1	1	2	2	12	3		1			010010												2				2				2			2		1	0.00	0.00	1	2
H8133	005	0	1	01	01	H8133_005_0	6	2								1	10			20	20	2	2				1	01	295.00	295.00			2	1	1	1	2	2	12	3		1			010010												2				2				2			2		1	0.00	0.00	1	2
H8142	001	0	1	02	01	H8142_001_0	17	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			111110	Rides are for up to 50 miles one-way. Transportation options include:Ambulatory  SedanWheelchair TransportationBariatric Wheelchair Transportation											2				2				2			2		2			2	2
H8142	002	0	1	02	01	H8142_002_0	17	2								2							2				1	11	75.00	75.00	75.00	75.00	2	1	1	1	2	2	24	3		1			111110	Rides are for up to 50 miles one-way. transportation options include:Ambulatory  SedanWheelchair TransportationBariatric Wheelchair Transportation											2				2				2			2		2			2	2
H8142	003	0	1	02	01	H8142_003_0	10	2								2							2				1	11	40.00	40.00	40.00	40.00	2	1	1	1	2	2	24	3		1			111110	Wheelchair transportation											2				2				2			2		2			2	2
H8142	004	0	1	02	01	H8142_004_0	16	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	1	1	2	2	24	3		1			111110	Rides are for up to 50 miles one-way.Other transportation options include:Ambulatory  SedanWheelchair TransportationBariatric Wheelchair Transportation											2				2				2			2		2			2	2
H8142	005	0	1	02	01	H8142_005_0	17	2								2							2				1	11	75.00	75.00	75.00	75.00	2	1	1	1	2	2	24	3		1			111110	Rides are for up to 50 miles one-way.Transportation options include:Ambulatory  SedanWheelchair TransportationBariatric Wheelchair Transportation											2				2				2			2		2			2	2
H8142	006	0	1	02	01	H8142_006_0	11	2								2							2				1	11	40.00	40.00	40.00	40.00	2	1	1	1	2	2	24	3		1			111110	Rides are for up to 50 miles one-way.Transportation options include:Ambulatory  SedanWheelchair TransportationBariatric Wheelchair Transportation											2				2				2			2		2			2	2
H8142	007	0	1	02	01	H8142_007_0	20	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			111110	Rides are for up to 50 miles one-way. Transportation options include:Ambulatory  SedanWheelchair TransportationBariatric Wheelchair Transportation											2				2				2			2		2			2	2
H8142	008	0	1	02	01	H8142_008_0	16	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	1	1	2	2	24	3		1			111110	Rides are for up to 50 miles one-way.Other transportation options include:Ambulatory  SedanWheelchair TransportationBariatric Wheelchair Transportation											2				2				2			2		2			2	2
H8142	009	0	1	02	01	H8142_009_0	17	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			111110	Rides are for up to 50 miles one-way. Transportation options include:Ambulatory  SedanWheelchair TransportationBariatric Wheelchair Transportation											2				2				2			2		2			2	2
H8142	010	0	1	02	01	H8142_010_0	21	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			111110	Rides are for up to 50 miles one-way. Transportation options include:Ambulatory  SedanWheelchair TransportationBariatric Wheelchair Transportation											2				2				2			2		2			2	2
H8142	801	0	1	02	01	H8142_801_0	1	2								1	11	20	20	20	20	2	2				2							2	2																																							
H8142	802	0	1	02	01	H8142_802_0	1	2								1	11	20	20	20	20	2	2				2							2	2																																							
H8142	803	0	1	02	01	H8142_803_0	1	2								1	11	20	20	20	20	2	2				2							2	2																																							
H8142	804	0	1	02	01	H8142_804_0	1	2								1	11	20	20	20	20	2	2				2							2	2																																							
H8145	004	0	1	09	04	H8145_004_0	4	2								2							2				1	11	290.00	290.00	290.00	290.00	2	2	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	2	2
H8145	006	0	1	09	04	H8145_006_0	4	2								1	10			20	20	2	2				1	01	300.00	300.00			2	2	2																																							
H8145	032	0	1	09	04	H8145_032_0	4	2								2							2				1	11	270.00	270.00	270.00	270.00	2	2	2																																							
H8145	042	0	1	09	04	H8145_042_0	8	2								2							2				1	11	300.00	300.00	300.00	300.00	2	2	1	1	2	2	24	3		1			101010	Car, Wheelchair access vehicle											2				2				2			2		1	0.00	0.00	2	2
H8145	052	0	1	09	04	H8145_052_0	4	2								2							2				1	11	290.00	290.00	290.00	290.00	2	2	2																																							
H8145	055	0	1	09	04	H8145_055_0	4	2								2							2				1	11	270.00	270.00	270.00	270.00	2	2	2																																							
H8145	069	0	1	09	04	H8145_069_0	5	2								2							2				1	11	270.00	270.00	270.00	270.00	2	2	2																																							
H8145	084	0	1	09	04	H8145_084_0	11	2								1	10			20	20	2	2				1	01	265.00	265.00			2	2	2																																							
H8145	091	0	1	09	04	H8145_091_0	4	2								1	11	20	20	20	20	2	2				2							2	2																																							
H8145	122	0	1	09	04	H8145_122_0	4	2								2							2				1	11	0.00	0.00	0.00	0.00	2	2	2																																							
H8145	123	0	1	09	04	H8145_123_0	4	2								1	10			20	20	2	2				1	01	265.00	265.00			2	2	2																																							
H8145	126	0	1	09	04	H8145_126_0	4	2								1	10			20	20	2	2				1	01	265.00	265.00			2	2	2																																							
H8145	163	0	1	09	04	H8145_163_0	3	2								2							2				1	11	270.00	270.00	270.00	270.00	2	2	2																																							
H8166	001	0	1	04	01	H8166_001_0	8	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H8166	002	0	1	04	01	H8166_002_0	8	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H8166	003	0	1	04	01	H8166_003_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H8166	004	0	1	04	01	H8166_004_0	10	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H8166	801	0	1	04	01	H8166_801_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8166	802	0	1	04	01	H8166_802_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8166	803	0	1	04	01	H8166_803_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8166	804	0	1	04	01	H8166_804_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8173	001	0	1	01	01	H8173_001_0	10	2								1	10			20	20	2	2				1	01	225.00	225.00			2	1	2																																							
H8173	002	0	1	01	01	H8173_002_0	11	2								1	10			20	20	2	2				1	01	175.00	175.00			2	1	2																																							
H8173	005	0	1	01	01	H8173_005_0	8	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H8173	007	0	1	01	01	H8173_007_0	10	2								1	10			20	20	2	2				1	01	225.00	225.00			2	1	2																																							
H8173	011	0	1	01	01	H8173_011_0	11	2								1	10			20	20	2	2				1	01	225.00	225.00			2	1	2																																							
H8173	013	0	1	01	01	H8173_013_0	10	2								1	10			20	20	2	2				1	01	350.00	350.00			2	1	2																																							
H8173	014	0	1	01	01	H8173_014_0	11	2								1	10			20	20	2	2				1	01	225.00	225.00			2	1	2																																							
H8173	016	0	1	01	01	H8173_016_0	11	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H8173	019	0	1	01	01	H8173_019_0	10	2								1	10			20	20	2	2				1	01	295.00	295.00			2	1	2																																							
H8176	001	0	1	01	01	H8176_001_0	5	2								1	11	20	20	20	20	2	2				2							1	1	2											2	1				1			011111		2				2				2			2		2			2	2
H8176	003	0	1	01	01	H8176_003_0	6	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8181	001	0	1	04	01	H8181_001_0	6	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H8181	002	0	1	04	01	H8181_002_0	6	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H8181	801	0	1	04	01	H8181_801_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8181	802	0	1	04	01	H8181_802_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8181	803	0	1	04	01	H8181_803_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8181	804	0	1	04	01	H8181_804_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8189	001	0	1	01	01	H8189_001_0	18	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H8189	007	0	1	01	01	H8189_007_0	18	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	36	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H8197	002	1	1	48	05	H8197_002_1	4	2								2							2				2							1	2																																							
H8197	002	2	1	48	05	H8197_002_2	6	2								2							2				2							1	2																																							
H8211	001	0	1	04	01	H8211_001_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H8211	002	0	1	04	01	H8211_002_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H8211	005	0	1	04	01	H8211_005_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H8211	006	0	1	04	01	H8211_006_0	5	2								2							2				1	11	215.00	215.00	215.00	215.00	2	1	2																																							
H8211	007	0	1	04	01	H8211_007_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H8211	009	0	1	04	01	H8211_009_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H8211	010	0	1	04	01	H8211_010_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H8211	011	0	1	04	01	H8211_011_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H8213	001	0	1	48	05	H8213_001_0	5	2								2							2				2							1	2																																							
H8225	003	0	1	01	01	H8225_003_0	17	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H8244	002	0	1	04	01	H8244_002_0	15	2								2							2				1	11	250.00	250.00	250.00	250.00	1	1	2																																							
H8244	801	0	1	04	01	H8244_801_0	2	2								2							2				1	11	250.00	250.00	250.00	250.00	1	1	2																																							
H8244	802	0	1	04	01	H8244_802_0	2	2								2							2				1	11	250.00	250.00	250.00	250.00	1	1	2																																							
H8244	803	0	1	04	01	H8244_803_0	2	2								2							2				1	11	250.00	250.00	250.00	250.00	1	1	2																																							
H8244	804	0	1	04	01	H8244_804_0	2	2								2							2				1	11	250.00	250.00	250.00	250.00	1	1	2																																							
H8293	001	0	1	01	01	H8293_001_0	9	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	1	1	2	2	12	3		2			011011												2				2				2			2		2			2	2
H8293	002	0	1	01	01	H8293_002_0	8	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	24	3		2			011011												2				2				2			2		2			2	2
H8298	001	0	1	01	01	H8298_001_0	9	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8330	001	0	1	01	01	H8330_001_0	8	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8330	002	0	1	01	01	H8330_002_0	8	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8332	001	0	1	01	01	H8332_001_0	8	2								2							2				1	11	240.00	240.00	240.00	240.00	2	1	2																																							
H8332	002	0	1	01	01	H8332_002_0	8	2								2							2				1	11	255.00	255.00	255.00	255.00	2	1	2																																							
H8332	003	0	1	01	01	H8332_003_0	8	2								2							2				1	11	255.00	255.00	255.00	255.00	2	1	2																																							
H8332	004	0	1	01	01	H8332_004_0	8	2								2							2				1	11	235.00	235.00	235.00	235.00	2	1	2																																							
H8332	005	0	1	01	01	H8332_005_0	8	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H8332	801	0	1	01	01	H8332_801_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8332	802	0	1	01	01	H8332_802_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8379	001	0	1	01	01	H8379_001_0	8	2								1	11	35	35	35	35	2	2				2							1	1	2											2	2	30	3		1			001011		2				2				2			2		2			2	2
H8379	002	0	1	01	01	H8379_002_0	9	2								1	11	35	35	35	35	2	2				2							1	1	2											2	2	30	3		1			001011		2				2				2			2		2			2	2
H8385	001	0	1	04	01	H8385_001_0	7	2								2							2				1	11	240.00	240.00	240.00	240.00	2	2	2																																							
H8385	002	0	1	04	01	H8385_002_0	8	2								2							2				1	11	150.00	150.00	150.00	150.00	2	2	2																																							
H8385	003	0	1	04	01	H8385_003_0	7	2								2							2				1	11	240.00	240.00	240.00	240.00	2	2	2																																							
H8385	004	0	1	04	01	H8385_004_0	8	2								2							2				1	11	240.00	240.00	240.00	240.00	2	2	2																																							
H8390	015	0	1	01	01	H8390_015_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			011111												2				2				2			2		2			2	2
H8390	016	0	1	01	01	H8390_016_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			011111												2				2				2			2		2			2	2
H8424	001	0	1	20	08	H8424_001_0	1																																																																			
H8424	002	0	1	20	08	H8424_002_0	1																																																																			
H8432	007	0	1	01	01	H8432_007_0	9	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H8432	009	0	1	01	01	H8432_009_0	6	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H8432	010	0	1	01	01	H8432_010_0	6	2								1	10			20	20	2	2				1	01	310.00	310.00			2	1	2																																							
H8432	011	0	1	01	01	H8432_011_0	6	2								2							2				1	11	280.00	280.00	280.00	280.00	2	1	2																																							
H8432	016	0	1	01	01	H8432_016_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H8432	028	0	1	01	01	H8432_028_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	6	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H8432	034	0	1	01	01	H8432_034_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	84	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H8432	036	0	1	01	01	H8432_036_0	3	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H8432	037	1	1	01	01	H8432_037_1	4	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H8432	037	2	1	01	01	H8432_037_2	4	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	2																																							
H8432	038	1	1	01	01	H8432_038_1	7	2								2							2				1	11	280.00	280.00	280.00	280.00	2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H8432	038	2	1	01	01	H8432_038_2	8	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H8432	039	1	1	01	01	H8432_039_1	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	20	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H8432	039	2	1	01	01	H8432_039_2	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H8432	040	0	1	01	01	H8432_040_0	5	2								1	10			20	20	2	2				1	01	265.00	265.00			2	1	2																																							
H8432	801	0	1	01	01	H8432_801_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8432	802	0	1	01	01	H8432_802_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8432	803	0	2	01	01	H8432_803_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8432	804	0	1	01	01	H8432_804_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8432	805	0	1	01	01	H8432_805_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8432	806	0	2	01	01	H8432_806_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8432	807	0	2	01	01	H8432_807_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8432	809	0	1	01	01	H8432_809_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8432	811	0	2	01	01	H8432_811_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8432	813	0	1	01	01	H8432_813_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8432	815	0	2	01	01	H8432_815_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8432	816	0	2	01	01	H8432_816_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8452	001	0	1	48	05	H8452_001_0	4	2								2							2				2							1	1	1	2	2	60	3		1			011111												2				2				2			2		2			2	2
H8457	001	0	1	01	01	H8457_001_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	16	3		1			010111												2				2				2			2		2			2	2
H8458	003	0	1	04	01	H8458_003_0	18	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H8492	001	0	1	01	01	H8492_001_0	6	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8547	001	0	1	01	01	H8547_001_0	6	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	1	2	2	12	3		1			010010												2				2				2			2		1	0.00	0.00	1	2
H8552	020	0	1	04	01	H8552_020_0	7	2								1	10			20	20	2	2				1	01	325.00	325.00			2	1	2																																							
H8552	028	0	1	04	01	H8552_028_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	52	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H8552	029	0	1	04	01	H8552_029_0	7	2								1	10			20	20	2	2				1	01	325.00	325.00			2	1	2																																							
H8553	001	0	1	04	01	H8553_001_0	19	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H8553	002	0	1	04	01	H8553_002_0	16	2								2							2				1	11	230.00	230.00	230.00	230.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H8554	001	0	1	01	01	H8554_001_0	6	2								1	10			20	20	2	2				1	01	295.00	295.00			2	1	1	1	2	2	24	3		1			010010												2				2				2			2		1	0.00	0.00	1	2
H8554	003	0	1	01	01	H8554_003_0	6	2								1	11	20	20	20	20	1	2				2							1	1	1	2	2	24	3		1			010010												2				2				2			2		1	0.00	0.00	1	2
H8554	004	0	1	01	01	H8554_004_0	6	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H8578	001	0	1	01	01	H8578_001_0	9	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	2																																							
H8578	003	0	1	01	01	H8578_003_0	7	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	2																																							
H8578	004	0	1	01	01	H8578_004_0	9	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	2																																							
H8578	009	0	1	01	01	H8578_009_0	7	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	2																																							
H8578	012	0	1	01	01	H8578_012_0	9	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H8578	018	0	1	01	01	H8578_018_0	10	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H8578	801	0	1	02	01	H8578_801_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8578	802	0	1	02	01	H8578_802_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8578	803	0	1	02	01	H8578_803_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8597	001	0	1	01	01	H8597_001_0	9	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	72	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H8597	002	0	1	01	01	H8597_002_0	8	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H8597	003	0	1	01	01	H8597_003_0	8	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H8604	010	0	1	04	01	H8604_010_0	14	2								2							2				1	11	200.00	200.00	500.00	500.00	2	1	2																																							
H8604	011	0	1	04	01	H8604_011_0	14	2								2							2				1	11	200.00	200.00	500.00	500.00	2	1	2																																							
H8604	013	0	1	04	01	H8604_013_0	14	2								2							2				1	11	200.00	200.00	500.00	500.00	2	1	2																																							
H8604	014	1	1	04	01	H8604_014_1	17	2								2							2				1	11	250.00	250.00	500.00	500.00	2	1	2																																							
H8604	014	2	1	04	01	H8604_014_2	16	2								2							2				1	11	250.00	250.00	500.00	500.00	2	1	2																																							
H8604	801	0	1	04	01	H8604_801_0	2	2								1	10			20	20	2	2				2							1	2																																							
H8614	001	0	1	20	08	H8614_001_0	1																																																																			
H8614	002	0	1	20	08	H8614_002_0	1																																																																			
H8634	003	0	1	04	01	H8634_003_0	7	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H8634	004	0	1	04	01	H8634_004_0	7	2								1	10			20	20	2	2				1	01	225.00	225.00			2	1	1	1	2	2	12	3		1			010010												2				2				2			2		1	0.00	0.00	1	2
H8634	008	0	1	04	01	H8634_008_0	7	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H8634	009	0	1	04	01	H8634_009_0	6	2								1	11	20	20	20	20	1	2				2							1	1	1	2	2	30	3		1			010010												2				2				2			2		1	0.00	0.00	1	2
H8634	010	0	1	04	01	H8634_010_0	6	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H8634	012	0	1	04	01	H8634_012_0	7	2								1	10			20	20	2	2				1	01	225.00	225.00			2	1	2																																							
H8634	014	0	1	04	01	H8634_014_0	7	2								1	11	0	0	0	0	2	2				2							1	2																																							
H8634	015	0	1	04	01	H8634_015_0	6	2								1	11	0	0	0	0	2	2				2							1	2																																							
H8634	016	0	1	04	01	H8634_016_0	6	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H8634	017	0	1	04	01	H8634_017_0	7	2								1	10			20	20	2	2				1	01	225.00	225.00			2	1	2																																							
H8634	018	0	1	04	01	H8634_018_0	5	2								1	10			20	20	2	2				1	01	225.00	225.00			2	1	2																																							
H8634	019	0	1	04	01	H8634_019_0	5	2								1	10			20	20	2	2				1	01	225.00	225.00			2	1	2																																							
H8634	020	0	1	04	01	H8634_020_0	6	2								1	10			20	20	2	2				1	01	225.00	225.00			2	1	2																																							
H8634	021	0	1	04	01	H8634_021_0	7	2								1	10			20	20	2	2				1	01	225.00	225.00			2	1	2																																							
H8634	801	0	1	04	01	H8634_801_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H8634	803	0	1	04	01	H8634_803_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H8634	805	0	1	04	01	H8634_805_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H8634	807	0	1	04	01	H8634_807_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H8634	809	0	1	04	01	H8634_809_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H8634	811	0	1	04	01	H8634_811_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H8634	813	0	1	04	01	H8634_813_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H8634	815	0	1	04	01	H8634_815_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H8634	817	0	1	04	01	H8634_817_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H8634	819	0	1	04	01	H8634_819_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H8634	820	0	1	04	01	H8634_820_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H8634	821	0	1	04	01	H8634_821_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H8634	822	0	1	04	01	H8634_822_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H8634	823	0	1	04	01	H8634_823_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H8634	824	0	1	04	01	H8634_824_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H8649	003	0	1	02	01	H8649_003_0	7	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H8649	008	0	1	02	01	H8649_008_0	7	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H8649	010	0	1	01	01	H8649_010_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H8649	801	0	1	01	01	H8649_801_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8649	803	0	1	01	01	H8649_803_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8655	004	0	1	20	08	H8655_004_0	1																																																																			
H8655	005	0	1	20	08	H8655_005_0	1																																																																			
H8711	004	0	1	04	01	H8711_004_0	18	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H8764	001	0	1	01	01	H8764_001_0	7	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	4	2	12	3		1			011001												2				2				2			2		2			1	2
H8764	002	0	1	02	01	H8764_002_0	7	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	4	2	12	3		1			011001												2				2				2			2		2			1	2
H8764	003	0	1	01	01	H8764_003_0	7	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	4	2	6	3		1			011001												2				2				2			2		2			1	2
H8764	004	0	1	01	01	H8764_004_0	7	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	4	2	6	3		1			011001												2				2				2			2		2			1	2
H8764	801	0	1	02	01	H8764_801_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8768	003	0	1	04	01	H8768_003_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H8768	005	0	1	04	01	H8768_005_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H8768	007	0	1	04	01	H8768_007_0	5	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H8768	008	0	1	04	01	H8768_008_0	5	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H8768	009	0	1	04	01	H8768_009_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H8768	010	0	1	04	01	H8768_010_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H8768	011	0	1	04	01	H8768_011_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H8768	013	0	1	04	01	H8768_013_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H8768	014	0	1	04	01	H8768_014_0	5	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H8768	016	0	1	04	01	H8768_016_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H8768	017	1	1	04	01	H8768_017_1	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H8768	017	2	1	04	01	H8768_017_2	6	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	2																																							
H8768	018	0	1	04	01	H8768_018_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H8768	019	0	1	04	01	H8768_019_0	4	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H8768	020	0	1	04	01	H8768_020_0	4	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H8768	021	0	1	04	01	H8768_021_0	4	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H8768	022	0	1	04	01	H8768_022_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H8768	023	0	1	04	01	H8768_023_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H8768	024	0	1	04	01	H8768_024_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H8768	025	0	1	04	01	H8768_025_0	4	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H8768	026	0	1	04	01	H8768_026_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H8768	027	0	1	04	01	H8768_027_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H8768	028	0	1	04	01	H8768_028_0	4	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H8768	030	0	1	04	01	H8768_030_0	6	2								2							2				1	11	210.00	210.00	210.00	210.00	2	1	2																																							
H8768	031	0	1	04	01	H8768_031_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H8768	032	0	1	04	01	H8768_032_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H8768	034	0	1	04	01	H8768_034_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H8768	035	0	1	04	01	H8768_035_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H8768	037	1	1	04	01	H8768_037_1	5	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H8768	037	2	1	04	01	H8768_037_2	5	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H8768	038	1	1	04	01	H8768_038_1	5	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H8768	038	2	1	04	01	H8768_038_2	5	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H8768	039	0	1	04	01	H8768_039_0	5	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
H8768	040	0	1	04	01	H8768_040_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H8768	042	0	1	04	01	H8768_042_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H8768	043	0	1	04	01	H8768_043_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H8768	044	0	1	04	01	H8768_044_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H8768	045	0	1	04	01	H8768_045_0	4	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H8768	046	0	1	04	01	H8768_046_0	5	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H8768	047	0	1	04	01	H8768_047_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H8768	048	0	1	04	01	H8768_048_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H8768	049	0	1	04	01	H8768_049_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H8768	050	0	1	04	01	H8768_050_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H8768	051	0	1	04	01	H8768_051_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H8769	001	0	1	20	08	H8769_001_0	1																																																																			
H8769	002	0	1	20	08	H8769_002_0	1																																																																			
H8777	001	0	1	20	08	H8777_001_0	1																																																																			
H8777	002	0	1	20	08	H8777_002_0	1																																																																			
H8783	001	0	1	04	01	H8783_001_0	10	2								2							2				1	11	375.00	375.00	375.00	375.00	2	2	2																																							
H8783	002	0	1	04	01	H8783_002_0	9	2								2							2				1	11	300.00	300.00	300.00	300.00	2	2	2																																							
H8783	003	0	1	04	01	H8783_003_0	10	2								2							2				1	11	350.00	350.00	350.00	350.00	2	2	2																																							
H8786	001	0	1	48	05	H8786_001_0	7	2								2							2				2							1	2																																							
H8794	001	0	1	01	01	H8794_001_0	11	2								2							2				1	11	150.00	150.00	150.00	150.00	2	2	2																																							
H8794	002	0	1	01	01	H8794_002_0	11	2								2							2				1	11	200.00	200.00	200.00	200.00	2	2	2																																							
H8794	004	0	1	01	01	H8794_004_0	8	2								2							2				1	11	30.00	30.00	30.00	30.00	2	2	2																																							
H8794	005	0	1	01	01	H8794_005_0	11	2								2							2				1	11	120.00	120.00	120.00	120.00	2	2	2																																							
H8797	001	0	1	01	01	H8797_001_0	11	2								1	11	20	20	20	20	2	2				2							1	1	2											2	2	24	3		1			011011		2				2				2			2		2			2	2
H8797	003	0	1	02	01	H8797_003_0	10	2								1	10			20	20	2	2				1	01	260.00	260.00			2	1	1	2											2	1				5	Members have a credit of $550 every year to use towards routine transportation costs.		011011		1	550.00	3		2				2			2		2			2	2
H8797	004	0	1	02	01	H8797_004_0	10	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H8800	001	0	1	20	08	H8800_001_0	1																																																																			
H8800	002	0	1	20	08	H8800_002_0	1																																																																			
H8845	001	0	1	01	01	H8845_001_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8845	002	0	1	01	01	H8845_002_0	7	2								1	11	20	20	20	20	2	2				2							1	1	2											2	1				1			011111		1	75.00	5		2				2			2		2			2	2
H8849	001	0	1	01	01	H8849_001_0	7	2								1	10			20	20	2	2				1	01	260.00	260.00			2	1	1	1	2	2	26	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H8849	002	0	1	01	01	H8849_002_0	7	2								2							2				1	11	195.00	195.00	195.00	195.00	2	1	1	1	2	2	6	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H8849	003	0	1	01	01	H8849_003_0	7	2								2							2				1	11	210.00	210.00	210.00	210.00	2	1	1	1	2	2	24	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H8849	005	0	1	01	01	H8849_005_0	7	2								2							2				1	11	210.00	210.00	210.00	210.00	2	1	1	1	2	2	24	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H8849	006	0	1	01	01	H8849_006_0	6	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	1	1	2	2	84	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H8849	009	0	1	01	01	H8849_009_0	6	2								2							2				1	11	210.00	210.00	210.00	210.00	2	1	1	1	2	2	84	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H8849	010	1	1	01	01	H8849_010_1	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H8849	010	2	1	01	01	H8849_010_2	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H8849	010	4	1	01	01	H8849_010_4	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H8849	010	5	1	01	01	H8849_010_5	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H8849	011	1	1	01	01	H8849_011_1	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H8849	011	2	1	01	01	H8849_011_2	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H8849	011	3	1	01	01	H8849_011_3	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H8849	011	4	1	01	01	H8849_011_4	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H8849	011	5	1	01	01	H8849_011_5	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H8849	013	0	1	01	01	H8849_013_0	7	2								1	10			20	20	2	2				1	01	260.00	260.00			2	1	1	1	2	2	26	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H8854	002	0	1	01	01	H8854_002_0	6	2								1	11	20	20	20	20	2	2				2							1	1	2											2	2	24	3		1			011111		2				2				2			2		2			2	2
H8889	001	0	1	04	01	H8889_001_0	6	2								1	10			20	20	2	2				1	01	265.00	265.00			2	2	2																																							
H8889	002	0	1	04	01	H8889_002_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	2	2																																							
H8889	003	0	1	04	01	H8889_003_0	6	2								1	10			20	20	2	2				1	01	100.00	100.00			2	2	2																																							
H8889	004	0	1	04	01	H8889_004_0	5	2								1	10			20	20	2	2				1	01	265.00	265.00			2	2	2																																							
H8889	005	0	1	04	01	H8889_005_0	5	2								1	10			20	20	2	2				1	01	265.00	265.00			2	2	2																																							
H8889	008	0	1	04	01	H8889_008_0	5	2								1	10			20	20	2	2				1	01	265.00	265.00			2	2	2																																							
H8889	009	0	1	04	01	H8889_009_0	4	2								1	10			20	20	2	2				1	01	265.00	265.00			2	2	2																																							
H8889	010	0	1	04	01	H8889_010_0	5	2								1	10			20	20	2	2				1	01	250.00	250.00			2	2	2																																							
H8889	011	0	1	04	01	H8889_011_0	5	2								1	10			20	20	2	2				1	01	100.00	100.00			2	2	2																																							
H8889	012	0	1	04	01	H8889_012_0	5	2								1	10			20	20	2	2				1	01	150.00	150.00			2	2	2																																							
H8889	013	0	1	04	01	H8889_013_0	5	2								2							2				1	10			50.00	50.00	2	2	2																																							
H8889	014	0	1	04	01	H8889_014_0	5	2								1	10			20	20	2	2				1	01	250.00	250.00			2	2	2																																							
H8889	015	0	1	04	01	H8889_015_0	5	2								1	10			20	20	2	2				1	01	250.00	250.00			2	2	2																																							
H8889	801	0	1	04	01	H8889_801_0	5	2								1	11	20	20	20	20	2	2				2							2	2																																							
H8894	001	0	1	01	01	H8894_001_0	7	2								1	11	20	20	20	20	2	2				2							2	2																																							
H8902	001	0	1	01	01	H8902_001_0	7	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	54	3		1			011010												2				2				2			2		2			2	2
H8902	002	0	1	01	01	H8902_002_0	6	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	54	3		1			011011												2				2				2			2		2			2	2
H8902	003	0	1	01	01	H8902_003_0	6	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	54	3		1			011011												2				2				2			2		2			2	2
H8902	004	0	1	01	01	H8902_004_0	7	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	8	3		1			011010												2				2				2			2		2			2	2
H8902	005	0	1	01	01	H8902_005_0	7	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	54	3		1			011010												2				2				2			2		2			2	2
H8902	006	0	1	01	01	H8902_006_0	6	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	54	3		1			011011												2				2				2			2		2			2	2
H8902	007	0	1	01	01	H8902_007_0	7	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	54	3		1			011011												2				2				2			2		2			2	2
H8902	008	0	1	01	01	H8902_008_0	7	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	8	3		1			011010												2				2				2			2		2			2	2
H8902	009	0	1	01	01	H8902_009_0	9	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011010												2				2				2			2		2			2	2
H8908	001	0	1	02	01	H8908_001_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H8908	002	0	1	01	01	H8908_002_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H8908	004	0	1	02	01	H8908_004_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	60	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H8908	005	0	1	01	01	H8908_005_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	100	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
H8908	801	0	1	01	01	H8908_801_0	6	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8908	802	0	1	01	01	H8908_802_0	6	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8908	804	0	1	01	01	H8908_804_0	7	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8908	805	0	1	01	01	H8908_805_0	7	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8928	001	0	1	01	01	H8928_001_0	7	2								1	11	20	20	20	20	1	2				2							1	2																																							
H8947	001	1	1	04	01	H8947_001_1	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			1	2
H8947	001	2	1	04	01	H8947_001_2	6	2								2							2				1	11	250.00	250.00	290.00	290.00	2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			1	2
H8947	002	1	1	04	01	H8947_002_1	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	36	3		1			011011												2				2				2			2		2			1	2
H8947	002	2	1	04	01	H8947_002_2	6	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	36	3		1			011011												2				2				2			2		2			1	2
H8967	001	0	1	01	01	H8967_001_0	7	2								1	11	20	20	20	20	2	2				2							2	1	1	2	2	26	3		1			010111												2				2				2			2		2			2	2
H8967	002	0	1	01	01	H8967_002_0	8	2								1	10			20	20	2	2				1	01	150.00	150.00			2	2	1	1	2	2	32	3		1			010111												2				2				2			2		2			2	2
H8982	001	0	1	20	08	H8982_001_0	1																																																																			
H8982	003	0	1	20	08	H8982_003_0	1																																																																			
H8992	001	0	1	20	08	H8992_001_0	1																																																																			
H8992	002	0	1	20	08	H8992_002_0	1																																																																			
H8998	001	0	1	04	01	H8998_001_0	8	2								2							2				1	11	250.00	250.00	300.00	300.00	2	1	2																																							
H8998	801	0	1	04	01	H8998_801_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H8998	802	0	1	04	01	H8998_802_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9001	030	15	1	01	01	H9001_030_15	6	1	11	900.00	3		900.00	3		2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	1				1			100000	Plan covers one-way trip transportation by chairvan from a hospital to a Skilled Nursing Facility.											2				2				2			2		1	35.00	35.00	2	2
H9001	030	16	1	01	01	H9001_030_16	6	1	11	900.00	3		900.00	3		2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	1				1			100000	Plan covers one-way trip transportation by chairvan from a hospital to a Skilled Nursing Facility.											2				2				2			2		1	35.00	35.00	2	2
H9001	030	18	1	01	01	H9001_030_18	6	1	11	900.00	3		900.00	3		2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	1				1			100000	Plan covers one-way trip transportation by chairvan from a hospital to a Skilled Nursing Facility.											2				2				2			2		1	35.00	35.00	2	2
H9001	031	15	1	01	01	H9001_031_15	7	1	11	500.00	3		500.00	3		2							2				1	11	125.00	125.00	125.00	125.00	2	1	1	1	2	1				1			100000	Plan covers one-way trip transportation by chairvan from a hospital to a Skilled Nursing Facility.											2				2				2			2		1	35.00	35.00	2	2
H9001	031	16	1	01	01	H9001_031_16	6	1	11	500.00	3		500.00	3		2							2				1	11	125.00	125.00	125.00	125.00	2	1	1	1	2	1				1			100000	Plan covers one-way trip transportation by chairvan from a hospital to a Skilled Nursing Facility.											2				2				2			2		1	35.00	35.00	2	2
H9001	031	18	1	01	01	H9001_031_18	6	1	11	500.00	3		500.00	3		2							2				1	11	125.00	125.00	125.00	125.00	2	1	1	1	2	1				1			100000	Plan covers one-way trip transportation by chairvan from a hospital to a Skilled Nursing Facility.											2				2				2			2		1	35.00	35.00	2	2
H9001	035	0	1	01	01	H9001_035_0	6	1	11	500.00	3		500.00	3		2							2				1	11	125.00	125.00	125.00	125.00	2	1	1	1	2	1				1			100000	Plan covers one-way trip transportation by chairvan from a hospital to a Skilled Nursing Facility.											2				2				2			2		1	35.00	35.00	2	2
H9001	036	0	1	01	01	H9001_036_0	6	1	11	900.00	3		900.00	3		2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	1				1			100000	Plan covers one-way trip transportation by chairvan from a hospital to a Skilled Nursing Facility.											2				2				2			2		1	35.00	35.00	2	2
H9001	038	0	1	01	01	H9001_038_0	6	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	1	1	2	1				1			100000	Plan covers one-way trip transportation by chairvan from a hospital to a Skilled Nursing Facility.											2				2				2			2		1	35.00	35.00	2	2
H9001	039	0	1	01	01	H9001_039_0	4	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	1				1			100000	Plan covers one-way trip transportation by chairvan from a hospital to a Skilled Nursing Facility.											2				2				2			2		1	35.00	35.00	2	2
H9001	040	0	1	01	01	H9001_040_0	6	2								2							2				1	11	125.00	125.00	125.00	125.00	2	1	1	1	2	1				1			100000	Plan covers one-way trip transportation by chairvan from a hospital to a Skilled Nursing Facility.											2				2				2			2		1	35.00	35.00	2	2
H9001	803	0	1	01	01	H9001_803_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9001	804	0	1	01	01	H9001_804_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9001	805	0	1	01	01	H9001_805_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9001	806	0	1	01	01	H9001_806_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9001	807	0	1	01	01	H9001_807_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9001	808	0	1	01	01	H9001_808_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9003	001	0	1	02	01	H9003_001_0	10	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	2																																							
H9003	006	0	1	02	01	H9003_006_0	10	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H9003	008	0	1	02	01	H9003_008_0	11	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H9003	009	0	1	02	01	H9003_009_0	10	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H9003	801	0	1	01	01	H9003_801_0	7	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9003	802	0	1	01	01	H9003_802_0	7	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9003	805	0	1	01	01	H9003_805_0	6	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9042	002	1	1	04	01	H9042_002_1	7	2								2							2				1	11	260.00	260.00	325.00	325.00	1	1	2																																							
H9042	002	2	1	04	01	H9042_002_2	7	2								2							2				1	11	260.00	260.00	325.00	325.00	1	1	2																																							
H9042	003	1	1	04	01	H9042_003_1	6	2								2							2				1	11	260.00	260.00	325.00	325.00	1	1	2																																							
H9042	003	2	1	04	01	H9042_003_2	6	2								2							2				1	11	260.00	260.00	325.00	325.00	1	1	2																																							
H9047	013	0	2	01	01	H9047_013_0	6	2								2							2				1	11	50.00	250.00	50.00	250.00	2	1	2																																							
H9047	033	0	1	01	01	H9047_033_0	4	2								2							2				1	11	50.00	250.00	50.00	250.00	2	1	2																																							
H9047	035	0	1	02	01	H9047_035_0	6	2								2							2				1	11	50.00	250.00	50.00	250.00	2	1	2																																							
H9047	037	0	1	01	01	H9047_037_0	8	2								2							2				1	11	50.00	250.00	50.00	250.00	2	1	2																																							
H9047	043	0	1	01	01	H9047_043_0	8	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9047	054	0	1	01	01	H9047_054_0	8	2								2							2				1	11	50.00	250.00	50.00	250.00	2	1	2																																							
H9047	059	0	1	02	01	H9047_059_0	10	2								2							2				1	11	50.00	250.00	50.00	250.00	2	1	2																																							
H9047	062	0	1	02	01	H9047_062_0	11	2								2							2				1	11	50.00	250.00	50.00	250.00	2	1	2																																							
H9047	063	0	1	01	01	H9047_063_0	11	2								2							2				1	11	50.00	250.00	50.00	250.00	2	1	2																																							
H9047	064	0	1	01	01	H9047_064_0	8	2								2							2				1	11	50.00	250.00	50.00	250.00	2	1	1	1	2	2	24	3		1			111111	Mode of transport also includes sedans, non-emergent ambulance and wheelchair-accessible vehicles.											2				2				2			2		2			2	2
H9047	065	0	1	02	01	H9047_065_0	10	2								2							2				1	11	50.00	250.00	50.00	250.00	2	1	2																																							
H9047	066	0	1	01	01	H9047_066_0	5	2								2							2				1	11	50.00	50.00	50.00	50.00	2	1	1	1	2	2	60	3		1			111111	Mode of transport also includes sedans, non-emergent ambulance and wheelchair-accessible vehicles.											2				2				2			2		2			2	2
H9047	804	0	1	01	01	H9047_804_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9047	805	0	1	02	01	H9047_805_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9047	808	0	1	01	01	H9047_808_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9047	809	0	1	02	01	H9047_809_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9052	001	0	1	20	08	H9052_001_0	1																																																																			
H9052	002	0	1	20	08	H9052_002_0	1																																																																			
H9065	001	0	1	01	01	H9065_001_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	40	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H9065	002	0	1	02	01	H9065_002_0	9	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H9065	003	0	1	02	01	H9065_003_0	9	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H9065	004	0	1	02	01	H9065_004_0	9	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H9065	006	0	1	01	01	H9065_006_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H9065	007	0	1	01	01	H9065_007_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H9065	008	0	1	01	01	H9065_008_0	8	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H9066	001	0	1	01	01	H9066_001_0	4	2								2							2				2							2	2																																							
H9066	002	0	1	01	01	H9066_002_0	4	2								1	11	20	20	20	20	2	2				2							2	1	1	2	2	48	3		1			010001												2				2				2			2		2			1	2
H9066	003	0	1	01	01	H9066_003_0	5	2								1	11	20	20	20	20	2	2				2							2	1	1	2	2	48	3		1			010001												2				2				2			2		2			1	2
H9068	001	0	1	20	08	H9068_001_0	1																																																																			
H9068	002	0	1	20	08	H9068_002_0	1																																																																			
H9096	001	0	1	02	01	H9096_001_0	6	2								1	10			20	20	2	2				1	01	290.00	290.00			2	1	1	2											2	2	24	3		1			001000		2				2				2			2		2			2	2
H9096	002	0	1	02	01	H9096_002_0	6	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	1	1	2	2	24	3		1			001000												2				2				2			2		2			2	2
H9096	004	0	1	01	01	H9096_004_0	6	2								1	10			20	20	2	2				1	01	290.00	290.00			2	1	1	2											2	2	24	3		1			001000		2				2				2			2		2			2	2
H9096	005	0	1	01	01	H9096_005_0	6	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	1	2											2	2	24	3		1			001000		2				2				2			2		2			2	2
H9096	010	0	1	02	01	H9096_010_0	4	2								1	10			20	20	2	2				1	01	290.00	290.00			2	1	1	2											2	2	24	3		1			001000		2				2				2			2		2			2	2
H9096	801	0	1	01	01	H9096_801_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9096	802	0	1	01	01	H9096_802_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9096	803	0	1	01	01	H9096_803_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9096	804	0	1	02	01	H9096_804_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9096	805	0	1	02	01	H9096_805_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9096	806	0	1	02	01	H9096_806_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9104	006	0	1	01	01	H9104_006_0	7	2								2							2				1	11	120.00	120.00	120.00	120.00	2	1	1	1	2	2	12	3		1			011011												2				2				2			2		2			2	2
H9147	001	0	1	02	01	H9147_001_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			011110												2				2				2			2		1	0.00	0.00	2	2
H9153	001	0	1	01	01	H9153_001_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9179	001	0	1	01	01	H9179_001_0	8	2								2							2				1	11	250.00	250.00	300.00	300.00	2	1	2																																							
H9179	002	0	1	01	01	H9179_002_0	8	2								2							2				1	11	250.00	250.00	300.00	300.00	2	1	2																																							
H9179	003	0	1	01	01	H9179_003_0	6	2								2							2				1	11	275.00	275.00	325.00	325.00	2	1	2																																							
H9179	801	0	1	01	01	H9179_801_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9179	802	0	1	01	01	H9179_802_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9185	001	0	1	20	08	H9185_001_0	1																																																																			
H9185	002	0	1	20	08	H9185_002_0	1																																																																			
H9191	001	0	1	01	01	H9191_001_0	5	2								1	11	20	20	20	20	2	2				2							2	1	2											2	2	30	3		1			011011		2				2				2			2		2			2	2
H9191	004	0	1	01	01	H9191_004_0	5	2								1	11	20	20	20	20	2	2				2							2	1	2											2	2	30	3		1			011011		2				2				2			2		2			2	2
H9207	002	0	1	02	01	H9207_002_0	10	2								1	10			20	20	2	2				1	01	210.00	210.00			2	1	1	1	2	2	50	3		1			011011												2				2				2			2		2			2	2
H9207	004	0	1	01	01	H9207_004_0	13	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			011011												2				2				2			2		2			2	2
H9207	012	0	1	02	01	H9207_012_0	11	2								1	10			20	20	2	2				1	01	210.00	210.00			2	1	1	1	2	2	22	3		1			011011												2				2				2			2		2			2	2
H9207	013	0	1	02	01	H9207_013_0	10	2								1	10			20	20	2	2				1	01	210.00	210.00			2	1	2																																							
H9207	014	0	1	02	01	H9207_014_0	11	2								1	10			20	20	2	2				1	01	210.00	210.00			2	1	2																																							
H9207	015	0	1	02	01	H9207_015_0	12	2								1	10			20	20	2	2				1	01	210.00	210.00			2	1	2																																							
H9207	016	0	1	01	01	H9207_016_0	12	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			011011												2				2				2			2		2			2	2
H9219	001	0	1	04	01	H9219_001_0	9	2								1	10			20	20	2	2				1	01	295.00	295.00			2	1	2																																							
H9219	002	0	1	04	01	H9219_002_0	8	2								1	10			20	20	2	2				1	01	295.00	295.00			2	1	2																																							
H9231	001	0	1	04	01	H9231_001_0	11	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H9231	002	0	1	04	01	H9231_002_0	10	2								1	10			20	20	2	2				1	01	350.00	350.00			2	1	2																																							
H9231	005	0	1	04	01	H9231_005_0	10	2								1	10			20	20	2	2				1	01	350.00	350.00			2	1	2																																							
H9231	006	0	1	04	01	H9231_006_0	11	2								1	10			20	20	2	2				1	01	350.00	350.00			2	1	2																																							
H9231	007	0	1	04	01	H9231_007_0	11	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H9231	010	0	1	04	01	H9231_010_0	11	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H9239	001	0	1	48	05	H9239_001_0	4	2								2							2				2							2	1	1	2	2	8	6	See notes	5	See notes		110011	See notes											2				2				2			2		2			2	2
H9252	001	0	1	20	08	H9252_001_0	1																																																																			
H9252	002	0	1	20	08	H9252_002_0	1																																																																			
H9258	001	0	1	01	01	H9258_001_0	18	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H9266	001	0	1	20	08	H9266_001_0	1																																																																			
H9266	003	0	1	20	08	H9266_003_0	1																																																																			
H9276	805	0	1	01	01	H9276_805_0	12	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9306	001	0	1	01	01	H9306_001_0	6	2								2							2				1	11	240.00	240.00	300.00	300.00	2	1	1	1	2	2	14	3		1			011111												2				2				2			2		2			2	2
H9306	002	0	1	01	01	H9306_002_0	6	2								2							2				1	11	240.00	240.00	300.00	300.00	2	1	2																																							
H9306	003	0	1	01	01	H9306_003_0	5	2								2							2				1	11	235.00	235.00	300.00	300.00	2	1	2																																							
H9306	004	0	1	01	01	H9306_004_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			011111												2				2				2			2		2			2	2
H9306	005	0	1	01	01	H9306_005_0	6	2								2							2				1	11	240.00	240.00	300.00	300.00	2	1	1	1	2	2	10	3		1			011111												2				2				2			2		2			2	2
H9306	007	0	1	01	01	H9306_007_0	5	2								2							2				1	11	250.00	250.00	300.00	300.00	2	1	1	1	2	2	36	3		1			011111												2				2				2			2		2			2	2
H9323	001	0	1	20	08	H9323_001_0	1																																																																			
H9323	002	0	1	20	08	H9323_002_0	1																																																																			
H9335	001	0	1	01	01	H9335_001_0	17	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H9335	003	0	1	01	01	H9335_003_0	17	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			011010												2				2				2			2		1	0.00	0.00	1	2
H9335	005	0	1	01	01	H9335_005_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H9335	006	0	1	01	01	H9335_006_0	6	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	36	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H9357	001	0	1	04	01	H9357_001_0	16	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H9364	001	0	1	01	01	H9364_001_0	6	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H9364	002	0	1	01	01	H9364_002_0	17	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H9364	003	0	1	01	01	H9364_003_0	18	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H9364	004	0	1	01	01	H9364_004_0	7	2								2							2				1	11	240.00	240.00	240.00	240.00	2	1	2																																							
H9387	001	0	1	04	01	H9387_001_0	17	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H9387	002	0	1	04	01	H9387_002_0	16	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H9387	004	0	1	04	01	H9387_004_0	18	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H9403	001	0	1	01	01	H9403_001_0	10	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		2			011011												2				2				2			2		2			2	2
H9403	003	0	1	01	01	H9403_003_0	8	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	24	3		2			011011												2				2				2			2		2			2	2
H9403	004	0	1	01	01	H9403_004_0	9	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	1	1	2	2	12	3		2			011011												2				2				2			2		2			2	2
H9412	803	0	1	04	01	H9412_803_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9414	001	0	1	04	01	H9414_001_0	10	2								2							2				1	11	290.00	290.00	350.00	350.00	2	1	2																																							
H9414	002	0	1	04	01	H9414_002_0	11	2								2							2				1	11	300.00	300.00	350.00	350.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		2			2	2
H9428	001	0	1	04	01	H9428_001_0	17	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H9428	002	0	1	04	01	H9428_002_0	17	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H9431	001	0	1	04	01	H9431_001_0	8	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
H9431	002	0	1	04	01	H9431_002_0	7	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	2																																							
H9431	004	0	1	04	01	H9431_004_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H9431	005	0	1	04	01	H9431_005_0	7	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H9431	006	0	1	04	01	H9431_006_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H9431	013	0	1	04	01	H9431_013_0	7	2								2							2				1	11	340.00	340.00	340.00	340.00	2	1	2																																							
H9431	014	0	1	04	01	H9431_014_0	7	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H9431	015	0	1	04	01	H9431_015_0	4	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	2																																							
H9431	016	0	1	04	01	H9431_016_0	4	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
H9431	017	0	1	04	01	H9431_017_0	4	2								2							2				1	11	280.00	280.00	280.00	280.00	2	1	2																																							
H9431	018	0	1	04	01	H9431_018_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H9431	019	0	1	04	01	H9431_019_0	7	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	2																																							
H9431	801	0	1	04	01	H9431_801_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9431	802	0	1	04	01	H9431_802_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9438	001	0	1	20	08	H9438_001_0	1																																																																			
H9438	002	0	1	20	08	H9438_002_0	1																																																																			
H9460	001	0	1	01	01	H9460_001_0	8	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H9468	001	0	1	20	08	H9468_001_0	1																																																																			
H9468	002	0	1	20	08	H9468_002_0	1																																																																			
H9469	001	0	1	04	01	H9469_001_0	4	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H9469	002	0	1	04	01	H9469_002_0	4	2								1	10			20	20	2	2				1	01	270.00	270.00			2	1	2																																							
H9469	003	0	1	04	01	H9469_003_0	4	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H9469	004	0	1	04	01	H9469_004_0	5	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	2																																							
H9469	005	0	1	04	01	H9469_005_0	5	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	2																																							
H9469	006	0	1	04	01	H9469_006_0	4	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	2																																							
H9469	007	0	1	04	01	H9469_007_0	4	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H9469	008	0	1	04	01	H9469_008_0	4	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H9469	009	0	1	04	01	H9469_009_0	4	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	2																																							
H9485	001	0	1	04	01	H9485_001_0	12	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H9485	002	0	1	04	01	H9485_002_0	11	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	2																																							
H9485	801	0	1	04	01	H9485_801_0	7	2								1	11	20	20	20	20	2	2				2							2	2																																							
H9489	001	0	1	01	01	H9489_001_0	9	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H9489	801	0	1	01	01	H9489_801_0	6	2								1	11	20	20	20	20	2	2				2							2	2																																							
H9489	802	0	1	02	01	H9489_802_0	6	2								1	11	20	20	20	20	2	2				2							2	2																																							
H9489	803	0	1	01	01	H9489_803_0	6	2								1	11	20	20	20	20	2	2				2							2	2																																							
H9489	804	0	1	02	01	H9489_804_0	6	2								1	11	20	20	20	20	2	2				2							2	2																																							
H9489	805	0	1	01	01	H9489_805_0	6	2								1	11	20	20	20	20	2	2				2							2	2																																							
H9489	806	0	1	02	01	H9489_806_0	6	2								1	11	20	20	20	20	2	2				2							2	2																																							
H9489	807	0	1	01	01	H9489_807_0	6	2								1	11	20	20	20	20	2	2				2							2	2																																							
H9489	808	0	1	02	01	H9489_808_0	6	2								1	11	20	20	20	20	2	2				2							2	2																																							
H9525	003	0	1	01	01	H9525_003_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	120	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H9525	004	0	1	01	01	H9525_004_0	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H9525	006	0	1	01	01	H9525_006_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H9525	007	0	1	01	01	H9525_007_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	120	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H9525	011	0	1	01	01	H9525_011_0	6	2								1	10			20	20	2	2				1	01	260.00	260.00			2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H9525	012	0	1	01	01	H9525_012_0	5	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	102	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H9525	013	1	1	01	01	H9525_013_1	7	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H9525	013	2	1	01	01	H9525_013_2	7	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H9525	013	3	1	01	01	H9525_013_3	7	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H9525	013	4	1	01	01	H9525_013_4	7	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H9525	015	0	1	01	01	H9525_015_0	7	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	60	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H9525	016	0	1	01	01	H9525_016_0	5	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	1	1	2	2	84	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H9525	017	0	1	01	01	H9525_017_0	6	2								1	10			20	20	2	2				1	01	325.00	325.00			2	1	1	1	2	2	120	3		1			011110												2				2				2			2		1	0.00	0.00	2	2
H9525	801	0	1	01	01	H9525_801_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9525	802	0	1	01	01	H9525_802_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9525	803	0	2	01	01	H9525_803_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9525	804	0	1	01	01	H9525_804_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9525	805	0	1	01	01	H9525_805_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9525	806	0	2	01	01	H9525_806_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9525	807	0	2	01	01	H9525_807_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9525	809	0	1	01	01	H9525_809_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9525	811	0	2	01	01	H9525_811_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9525	813	0	1	01	01	H9525_813_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9525	815	0	2	01	01	H9525_815_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9525	816	0	2	01	01	H9525_816_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9564	001	0	1	20	08	H9564_001_0	1																																																																			
H9564	002	0	1	20	08	H9564_002_0	1																																																																			
H9572	001	1	1	04	01	H9572_001_1	5	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	1	2											2	2	1	3		2			000010		2				2				2			2		2			2	2
H9572	001	2	1	04	01	H9572_001_2	5	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	1	2											2	2	1	3		2			000010		2				2				2			2		2			2	2
H9572	001	3	1	04	01	H9572_001_3	4	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	1	2											2	2	1	3		2			000010		2				2				2			2		2			2	2
H9572	001	4	1	04	01	H9572_001_4	4	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	1	2											2	2	1	3		2			000010		2				2				2			2		2			2	2
H9572	001	6	1	04	01	H9572_001_6	4	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	1	1	2	1				4		28	000010												2				2				2			2		2			2	2
H9572	002	1	1	04	01	H9572_002_1	4	2								2							2				1	11	275.00	275.00	275.00	275.00	2	2	1	2											2	2	1	3		2			000010		2				2				2			2		2			2	2
H9572	002	2	1	04	01	H9572_002_2	4	2								2							2				1	11	275.00	275.00	275.00	275.00	2	2	1	2											2	2	1	3		2			000010		2				2				2			2		2			2	2
H9572	002	3	1	04	01	H9572_002_3	4	2								2							2				1	11	275.00	275.00	275.00	275.00	2	2	1	2											2	2	1	3		2			000010		2				2				2			2		2			2	2
H9572	002	4	1	04	01	H9572_002_4	4	2								2							2				1	11	275.00	275.00	275.00	275.00	2	2	1	2											2	2	1	3		2			000010		2				2				2			2		2			2	2
H9572	002	6	1	04	01	H9572_002_6	4	2								2							2				1	11	275.00	275.00	275.00	275.00	2	2	1	1	2	1				4		28	000010												2				2				2			2		2			2	2
H9572	003	1	1	04	01	H9572_003_1	4	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	1	2											2	2	1	3		2			000010		2				2				2			2		2			2	2
H9572	003	2	1	04	01	H9572_003_2	4	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	1	2											2	2	1	3		2			000010		2				2				2			2		2			2	2
H9572	003	3	1	04	01	H9572_003_3	4	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	1	2											2	2	1	3		2			000010		2				2				2			2		2			2	2
H9572	003	4	1	04	01	H9572_003_4	5	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	1	2											2	2	1	3		2			000010		2				2				2			2		2			2	2
H9572	003	6	1	04	01	H9572_003_6	4	2								2							2				1	11	250.00	250.00	250.00	250.00	2	2	1	1	2	1				4		28	000010												2				2				2			2		2			2	2
H9572	004	1	1	04	01	H9572_004_1	4	2								2							2				1	11	275.00	275.00	275.00	275.00	2	2	1	2											2	2	1	3		2			000010		2				2				2			2		2			2	2
H9572	004	2	1	04	01	H9572_004_2	4	2								2							2				1	11	275.00	275.00	275.00	275.00	2	2	1	2											2	2	1	3		2			000010		2				2				2			2		2			2	2
H9572	004	3	1	04	01	H9572_004_3	4	2								2							2				1	11	275.00	275.00	275.00	275.00	2	2	1	2											2	2	1	3		2			000010		2				2				2			2		2			2	2
H9572	004	4	1	04	01	H9572_004_4	4	2								2							2				1	11	275.00	275.00	275.00	275.00	2	2	1	2											2	2	1	3		2			000010		2				2				2			2		2			2	2
H9572	004	6	1	04	01	H9572_004_6	4	2								2							2				1	11	275.00	275.00	275.00	275.00	2	2	1	1	2	1				4		28	000010												2				2				2			2		2			2	2
H9572	006	1	1	04	01	H9572_006_1	4	2								2							2				1	11	290.00	290.00	290.00	290.00	2	2	1	2											2	2	1	3		2			000010		2				2				2			2		2			2	2
H9572	006	2	1	04	01	H9572_006_2	4	2								2							2				1	11	290.00	290.00	290.00	290.00	2	2	1	2											2	2	1	3		2			000010		2				2				2			2		2			2	2
H9572	006	3	1	04	01	H9572_006_3	4	2								2							2				1	11	290.00	290.00	290.00	290.00	2	2	1	2											2	2	1	3		2			000010		2				2				2			2		2			2	2
H9572	006	4	1	04	01	H9572_006_4	4	2								2							2				1	11	290.00	290.00	290.00	290.00	2	2	1	2											2	2	1	3		2			000010		2				2				2			2		2			2	2
H9572	006	6	1	04	01	H9572_006_6	4	2								2							2				1	11	290.00	290.00	290.00	290.00	2	2	1	1	2	1				4		28	000010												2				2				2			2		2			2	2
H9572	007	1	1	04	01	H9572_007_1	4	2								2							2				1	11	290.00	290.00	290.00	290.00	2	2	1	2											2	2	1	3		2			000010		2				2				2			2		2			2	2
H9572	007	2	1	04	01	H9572_007_2	4	2								2							2				1	11	290.00	290.00	290.00	290.00	2	2	1	2											2	2	1	3		2			000010		2				2				2			2		2			2	2
H9572	007	3	1	04	01	H9572_007_3	4	2								2							2				1	11	290.00	290.00	290.00	290.00	2	2	1	2											2	2	1	3		2			000010		2				2				2			2		2			2	2
H9572	007	4	1	04	01	H9572_007_4	4	2								2							2				1	11	290.00	290.00	290.00	290.00	2	2	1	2											2	2	1	3		2			000010		2				2				2			2		2			2	2
H9572	007	6	1	04	01	H9572_007_6	4	2								2							2				1	11	290.00	290.00	290.00	290.00	2	2	1	1	2	1				4		28	000010												2				2				2			2		2			2	2
H9572	801	0	1	04	01	H9572_801_0	2	2								1	11	20	20	20	20	2	2				2							2	2																																							
H9572	802	0	1	04	01	H9572_802_0	2	2								1	11	20	20	20	20	2	2				2							2	2																																							
H9572	803	0	1	04	01	H9572_803_0	2	2								1	11	20	20	20	20	2	2				2							2	2																																							
H9572	804	0	1	04	01	H9572_804_0	2	2								1	11	20	20	20	20	2	2				2							2	2																																							
H9572	805	0	1	04	01	H9572_805_0	2	2								1	11	20	20	20	20	2	2				2							2	2																																							
H9572	806	0	1	04	01	H9572_806_0	2	2								1	11	20	20	20	20	2	2				2							2	2																																							
H9576	001	0	1	48	05	H9576_001_0	8	2								2							2				2							1	2																																							
H9585	001	0	1	01	01	H9585_001_0	13	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9589	003	0	1	04	01	H9589_003_0	9	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	1	1	2	2	12	3		2			011011												2				2				2			2		2			2	2
H9590	001	0	1	01	01	H9590_001_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			010111												2				2				2			2		2			2	2
H9592	001	0	1	20	08	H9592_001_0	1																																																																			
H9592	002	0	1	20	08	H9592_002_0	1																																																																			
H9614	001	0	1	04	01	H9614_001_0	12	2								2							2				1	11	250.00	250.00	250.00	250.00	1	1	2																																							
H9614	801	0	1	04	01	H9614_801_0	2	2								2							2				1	11	250.00	250.00	250.00	250.00	1	1	2																																							
H9614	802	0	1	04	01	H9614_802_0	2	2								2							2				1	11	250.00	250.00	250.00	250.00	1	1	2																																							
H9614	803	0	1	04	01	H9614_803_0	2	2								2							2				1	11	250.00	250.00	250.00	250.00	1	1	2																																							
H9614	804	0	1	04	01	H9614_804_0	2	2								2							2				1	11	250.00	250.00	250.00	250.00	1	1	2																																							
H9615	007	0	1	04	01	H9615_007_0	11	2								2							2				1	11	175.00	175.00	300.00	300.00	2	1	1	1	2	2	26	3		1			011011												2				2				2			2		2			1	2
H9615	008	0	1	04	01	H9615_008_0	10	2								2							2				1	11	200.00	200.00	500.00	500.00	2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			1	2
H9615	010	0	1	04	01	H9615_010_0	10	2								2							2				1	11	200.00	200.00	500.00	500.00	2	1	1	1	2	2	26	3		1			011011												2				2				2			2		2			1	2
H9615	012	0	1	04	01	H9615_012_0	10	2								2							2				1	11	200.00	200.00	400.00	400.00	2	1	1	1	2	2	18	3		1			011011												2				2				2			2		2			1	2
H9615	014	0	1	04	01	H9615_014_0	10	2								2							2				1	11	150.00	150.00	300.00	300.00	2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			1	2
H9615	015	0	1	04	01	H9615_015_0	14	2								2							2				1	11	225.00	225.00	225.00	225.00	2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			1	2
H9615	016	0	1	04	01	H9615_016_0	13	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	34	3		1			011011												2				2				2			2		2			1	2
H9615	017	0	1	04	01	H9615_017_0	12	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	1	1	2	2	44	3		1			011011												2				2				2			2		2			1	2
H9615	018	0	1	04	01	H9615_018_0	11	2								2							2				1	11	150.00	150.00	300.00	300.00	2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			1	2
H9615	019	0	1	04	01	H9615_019_0	11	2								2							2				1	11	250.00	250.00	500.00	500.00	2	1	1	1	2	2	12	3		1			011011												2				2				2			2		2			1	2
H9615	802	0	1	04	01	H9615_802_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9615	807	0	1	04	01	H9615_807_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9615	810	0	1	04	01	H9615_810_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9615	811	0	1	04	01	H9615_811_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9616	001	0	1	20	08	H9616_001_0	1																																																																			
H9616	002	0	1	20	08	H9616_002_0	1																																																																			
H9630	002	0	1	01	01	H9630_002_0	16	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H9630	005	0	1	01	01	H9630_005_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	36	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H9630	008	0	1	01	01	H9630_008_0	16	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
H9630	010	0	1	01	01	H9630_010_0	17	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H9630	011	0	1	01	01	H9630_011_0	17	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			011010												2				2				2			2		1	0.00	0.00	1	2
H9630	013	0	1	01	01	H9630_013_0	16	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	2																																							
H9630	014	0	1	01	01	H9630_014_0	17	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	36	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H9649	001	0	1	20	08	H9649_001_0	1																																																																			
H9649	002	0	1	20	08	H9649_002_0	1																																																																			
H9656	001	0	1	01	01	H9656_001_0	4	2								1	11	38	38	38	38	2	2				2							1	1	1	2	1				1			010011												1	365.00	5		2				2			2		2			2	2
H9656	002	0	1	01	01	H9656_002_0	4	2								1	11	38	38	38	38	2	2				2							1	1	1	2	1				1			010011												1	365.00	5		2				2			2		2			2	2
H9662	801	0	1	01	01	H9662_801_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9662	802	0	1	01	01	H9662_802_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9678	001	0	1	04	01	H9678_001_0	12	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H9686	001	0	1	01	01	H9686_001_0	12	2								2							2				1	11	100.00	100.00	100.00	100.00	1	1	1	1	2	2	36	3		1			000010												2				2				2			2		2			1	1
H9686	004	0	1	01	01	H9686_004_0	13	2								2							2				1	11	100.00	100.00	100.00	100.00	1	1	1	1	2	2	50	3		1			000010												2				2				2			2		2			1	1
H9686	005	0	1	01	01	H9686_005_0	13	2								2							2				2							1	1	1	2	2	50	3		1			000010												2				2				2			2		2			1	1
H9686	801	0	1	01	01	H9686_801_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9686	802	0	1	01	01	H9686_802_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9686	803	0	1	01	01	H9686_803_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9686	804	0	1	01	01	H9686_804_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9690	001	0	1	01	01	H9690_001_0	5	2								1	11	20	20	20	20	2	2				2							1	1	2											2	2	50	3		1			000011		2				2				2			2		1	0.00	0.00	2	2
H9699	007	0	1	01	01	H9699_007_0	3	2								1	10			20	20	2	2				1	01	325.00	325.00			2	2	2																																							
H9706	001	0	1	01	01	H9706_001_0	6	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	1	1	2	2	12	3		1			010010												2				2				2			2		1	0.00	0.00	1	2
H9706	002	0	1	01	01	H9706_002_0	6	2								1	11	20	20	20	20	1	2				2							1	1	1	2	2	24	3		1			010010												2				2				2			2		1	0.00	0.00	1	2
H9706	005	0	1	01	01	H9706_005_0	6	2								1	10			20	20	2	2				1	01	295.00	295.00			2	1	1	1	2	2	12	3		1			010010												2				2				2			2		1	0.00	0.00	1	2
H9706	007	0	1	01	01	H9706_007_0	5	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	2																																							
H9706	008	0	1	01	01	H9706_008_0	6	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	2																																							
H9706	009	0	1	01	01	H9706_009_0	6	2								1	10			20	20	2	2				1	01	275.00	275.00			2	1	1	1	2	2	12	3		1			010010												2				2				2			2		1	0.00	0.00	1	2
H9706	801	0	1	01	01	H9706_801_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H9706	802	0	1	01	01	H9706_802_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H9706	803	0	1	01	01	H9706_803_0	3	2								1	11	20	20	20	20	2	2				2							2	2																																							
H9712	001	0	1	48	05	H9712_001_0	13	2								2							2				2							1	1	2											2	1				2			010111		2				2				2			2		2			1	2
H9725	003	0	1	01	01	H9725_003_0	8	2								1	10			20	20	2	2				1	01	270.00	270.00			2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			1	2
H9725	005	0	1	01	01	H9725_005_0	5	2								1	10			20	20	2	2				1	01	270.00	270.00			2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			1	2
H9725	006	0	1	01	01	H9725_006_0	7	2								1	10			20	20	2	2				1	01	270.00	270.00			2	1	1	1	2	2	10	3		1			011011												2				2				2			2		2			1	2
H9725	008	0	1	01	01	H9725_008_0	7	2								1	10			20	20	2	2				1	01	270.00	270.00			2	1	1	1	2	2	50	3		1			011011												2				2				2			2		2			1	2
H9725	009	1	1	01	01	H9725_009_1	7	2								1	10			20	20	2	2				1	01	270.00	270.00			2	1	1	1	2	2	30	3		1			011011												2				2				2			2		2			1	2
H9725	009	2	1	01	01	H9725_009_2	7	2								1	10			20	20	2	2				1	01	270.00	270.00			2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			1	2
H9725	009	3	1	01	01	H9725_009_3	7	2								1	10			20	20	2	2				1	01	270.00	270.00			2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			1	2
H9725	009	4	1	01	01	H9725_009_4	7	2								1	10			20	20	2	2				1	01	270.00	270.00			2	1	1	1	2	2	24	3		1			011011												2				2				2			2		2			1	2
H9725	010	0	1	01	01	H9725_010_0	7	2								1	10			20	20	2	2				1	01	225.00	225.00			2	1	1	1	2	2	20	3		1			011011												2				2				2			2		2			1	2
H9725	011	0	1	01	01	H9725_011_0	7	2								1	10			20	20	2	2				1	01	225.00	225.00			2	1	1	1	2	2	30	3		1			011011												2				2				2			2		2			1	2
H9725	012	0	1	01	01	H9725_012_0	7	2								1	10			20	20	2	2				1	01	290.00	290.00			2	1	2																																							
H9725	013	0	1	01	01	H9725_013_0	8	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	50	3		1			011011												2				2				2			2		2			1	2
H9725	014	0	1	01	01	H9725_014_0	7	2								1	10			20	20	2	2				1	01	270.00	270.00			2	1	2																																							
H9725	801	0	1	01	01	H9725_801_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9730	003	0	1	01	01	H9730_003_0	16	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H9730	004	0	1	01	01	H9730_004_0	17	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H9730	005	0	1	02	01	H9730_005_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H9730	007	0	1	01	01	H9730_007_0	17	2								2							2				1	11	320.00	320.00	320.00	320.00	2	1	2																																							
H9730	009	0	1	01	01	H9730_009_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H9730	010	0	1	01	01	H9730_010_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	48	3		1			011010												2				2				2			2		1	0.00	0.00	2	2
H9730	011	0	1	01	01	H9730_011_0	17	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	48	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H9761	001	0	1	04	01	H9761_001_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H9761	002	0	1	04	01	H9761_002_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H9761	004	0	1	04	01	H9761_004_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H9763	003	1	1	01	01	H9763_003_1	9	2								1	10			20	20	2	2				1	01	235.00	235.00			2	1	2																																							
H9763	003	2	1	01	01	H9763_003_2	8	2								1	10			20	20	2	2				1	01	235.00	235.00			2	1	2																																							
H9763	004	1	1	02	01	H9763_004_1	8	2								1	10			20	20	2	2				1	01	235.00	235.00			2	1	2																																							
H9763	004	2	1	02	01	H9763_004_2	9	2								1	10			20	20	2	2				1	01	235.00	235.00			2	1	2																																							
H9763	005	0	1	01	01	H9763_005_0	8	2								1	10			20	20	2	2				1	01	235.00	235.00			2	1	2																																							
H9763	006	0	1	02	01	H9763_006_0	7	2								1	10			20	20	2	2				1	01	235.00	235.00			2	1	2																																							
H9808	004	0	1	04	01	H9808_004_0	10	2								2							2				1	11	250.00	250.00	300.00	300.00	2	1	2																																							
H9808	005	0	1	04	01	H9808_005_0	10	2								2							2				1	11	200.00	200.00	300.00	300.00	2	1	2																																							
H9808	009	0	1	04	01	H9808_009_0	7	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	2	24	3		1			011001												2				2				2			2		2			1	2
H9808	807	0	1	04	01	H9808_807_0	5	2								2							2				1	11	250.00	250.00	300.00	300.00	2	1	2																																							
H9808	808	0	1	04	01	H9808_808_0	5	2								2							2				1	11	250.00	250.00	300.00	300.00	2	1	2																																							
H9811	801	0	1	01	01	H9811_801_0	13	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9826	002	1	1	01	01	H9826_002_1	9	2								1	11	20	20	20	20	1	2				2							1	1	1	2	2	4	7		1			010111												2				2				2			2		2			1	2
H9826	002	2	1	01	01	H9826_002_2	9	2								1	11	20	20	20	20	1	2				2							1	1	1	2	2	4	7		1			010111												2				2				2			2		2			1	2
H9826	002	3	1	01	01	H9826_002_3	9	2								1	11	20	20	20	20	1	2				2							1	1	1	2	2	4	7		1			010111												2				2				2			2		2			1	2
H9827	001	0	1	01	01	H9827_001_0	9	2								2							2				1	11	240.00	240.00	290.00	290.00	2	1	2																																							
H9827	002	0	1	01	01	H9827_002_0	9	2								2							2				1	11	220.00	220.00	270.00	270.00	2	1	2																																							
H9827	003	0	1	01	01	H9827_003_0	6	2								2							2				1	11	150.00	150.00	200.00	200.00	2	1	2																																							
H9827	004	0	1	01	01	H9827_004_0	9	2								2							2				1	11	300.00	300.00	350.00	350.00	2	1	2																																							
H9827	801	0	1	01	01	H9827_801_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9827	802	0	1	01	01	H9827_802_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9830	001	0	1	20	08	H9830_001_0	1																																																																			
H9830	002	0	1	20	08	H9830_002_0	1																																																																			
H9834	001	0	1	01	01	H9834_001_0	4	2								2							2				1	11	275.00	275.00	275.00	275.00	2	2	1	2											2	1				1			011000		2				2				2			2		2			2	2
H9834	003	0	1	01	01	H9834_003_0	4	2								2							2				1	11	300.00	300.00	300.00	300.00	2	2	1	2											2	1				1			011000		2				2				2			2		2			2	2
H9834	004	0	1	01	01	H9834_004_0	3	2								2							2				1	11	300.00	300.00	300.00	300.00	2	2	1	2											2	1				1			011000		2				2				2			2		2			2	2
H9834	005	0	1	01	01	H9834_005_0	3	2								2							2				1	11	275.00	275.00	275.00	275.00	2	2	1	2											2	1				1			011000		2				2				2			2		2			2	2
H9834	006	0	1	01	01	H9834_006_0	4	2								2							2				1	11	350.00	350.00	350.00	350.00	2	2	1	2											2	1				1			011000		2				2				2			2		2			2	2
H9842	001	0	1	20	08	H9842_001_0	1																																																																			
H9842	002	0	1	20	08	H9842_002_0	1																																																																			
H9861	001	0	1	02	01	H9861_001_0	11	2								2							2				1	11	240.00	240.00	300.00	300.00	2	1	1	1	2	2	12	3		1			011111												2				2				2			2		2			1	2
H9861	003	0	1	01	01	H9861_003_0	11	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	50	3		1			011111												2				2				2			2		2			2	2
H9869	001	0	1	48	05	H9869_001_0	5	2								2							2				2							1	1	2											2	1				2			111111	Ambulance, air ambulance, ambulette, fixed wing or airplane transport, invalid coach, livery, rideshare services, and other means appropriate to the Participant's medical condition.	2				2				2			2		2			1	2
H9876	001	0	1	04	01	H9876_001_0	9	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		2			2	2
H9876	002	0	1	04	01	H9876_002_0	9	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		2			2	2
H9884	001	0	1	04	01	H9884_001_0	11	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H9884	003	0	1	04	01	H9884_003_0	10	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H9884	004	0	1	04	01	H9884_004_0	10	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H9884	005	0	1	04	01	H9884_005_0	10	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H9884	006	0	1	04	01	H9884_006_0	10	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H9884	007	0	1	04	01	H9884_007_0	10	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H9884	008	0	1	04	01	H9884_008_0	10	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
H9884	011	0	1	04	01	H9884_011_0	11	2								1	10			20	20	2	2				1	01	285.00	285.00			2	1	2																																							
H9884	012	0	1	04	01	H9884_012_0	10	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	2																																							
H9884	013	0	1	04	01	H9884_013_0	10	2								1	10			20	20	2	2				1	01	285.00	285.00			2	1	2																																							
H9888	001	0	1	04	01	H9888_001_0	11	2								1	10			20	20	2	2				1	01	270.00	270.00			2	1	2																																							
H9888	002	0	1	04	01	H9888_002_0	11	2								1	10			20	20	2	2				1	01	270.00	270.00			2	1	2																																							
H9900	001	0	1	01	01	H9900_001_0	16	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H9900	002	0	1	01	01	H9900_002_0	17	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H9900	003	0	1	01	01	H9900_003_0	17	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	48	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H9900	004	0	1	01	01	H9900_004_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	12	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H9900	005	0	1	01	01	H9900_005_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
H9900	006	0	1	01	01	H9900_006_0	6	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
H9900	007	0	1	01	01	H9900_007_0	6	2								2							2				1	11	200.00	200.00	200.00	200.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H9900	008	0	1	01	01	H9900_008_0	4	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	24	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H9900	009	0	1	01	01	H9900_009_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	1	1	2	2	36	3		1			011010												2				2				2			2		1	0.00	0.00	1	2
H9904	001	0	1	04	01	H9904_001_0	6	2								2							2				1	11	275.00	275.00	275.00	275.00	1	1	1	1	2	2	6	3		1			011001												2				2				2			2		2			1	2
H9907	001	0	1	04	01	H9907_001_0	7	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H9907	801	0	1	04	01	H9907_801_0	1	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H9907	802	0	1	04	01	H9907_802_0	1	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H9907	803	0	1	04	01	H9907_803_0	1	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H9907	804	0	1	04	01	H9907_804_0	1	2								2							2				1	11	350.00	350.00	350.00	350.00	2	1	2																																							
H9909	001	0	1	01	01	H9909_001_0	6	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9917	001	0	1	01	01	H9917_001_0	10	2								1	11	20	20	20	20	2	2				2							1	1	2											2	2	24	3		1			011011		2				2				2			2		2			2	2
H9917	002	0	1	01	01	H9917_002_0	10	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	2											2	2	24	3		1			011011		2				2				2			2		2			2	2
H9917	003	0	1	01	01	H9917_003_0	8	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	50	3		1			011011												2				2				2			2		2			2	2
H9917	004	0	1	01	01	H9917_004_0	10	2								1	10			20	20	2	2				1	01	250.00	250.00			2	1	1	2											2	2	24	3		1			011011		2				2				2			2		2			2	2
H9940	001	0	1	01	01	H9940_001_0	11	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			010111												2				2				2			2		2			2	2
H9942	001	0	1	04	01	H9942_001_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	28	3		1			010111												2				2				2			2		2			2	2
H9943	001	0	1	02	01	H9943_001_0	13	2								2							2				1	11	150.00	150.00	150.00	150.00	1	1	1	1	2	2	24	3		1			000010												2				2				2			2		2			1	1
H9943	002	0	1	02	01	H9943_002_0	13	2								2							2				1	11	150.00	150.00	150.00	150.00	1	1	1	1	2	2	24	3		1			000010												2				2				2			2		2			1	1
H9943	003	0	1	01	01	H9943_003_0	14	2								2							2				1	11	150.00	150.00	150.00	150.00	1	1	1	1	2	2	50	3		1			000010												2				2				2			2		2			1	1
H9943	004	0	1	01	01	H9943_004_0	15	2								2							2				2							1	1	1	2	2	50	3		1			000010												2				2				2			2		2			1	1
H9943	005	0	1	02	01	H9943_005_0	13	2								2							2				1	11	200.00	200.00	200.00	200.00	1	1	2																																							
H9943	801	0	1	01	01	H9943_801_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9943	802	0	1	01	01	H9943_802_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9943	803	0	1	01	01	H9943_803_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9943	804	0	1	01	01	H9943_804_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9946	001	0	1	04	01	H9946_001_0	7	2								1	11	20	20	20	20	2	2				2							1	1	1	2	1				1			011111												2				2				2			2		2			2	2
H9952	001	0	1	01	01	H9952_001_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	1	6	Enhanced transportation benefit is limited to round trips to an approved fitness center associated with the physical fitness benefit. Periodicity is limited to one round trip per day.	2			010000												2				2				2			2		2			1	2
H9955	001	0	1	01	01	H9955_001_0	5	2								1	11	20	20	20	20	2	2				2							1	1	2											2	1				1			011111		1	100.00	5		2				2			2		2			2	2
H9955	002	0	1	01	01	H9955_002_0	7	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9955	003	0	1	01	01	H9955_003_0	6	2								1	11	20	20	20	20	2	2				2							1	1	2											2	1				1			011111		1	100.00	5		2				2			2		2			2	2
H9955	004	0	1	01	01	H9955_004_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9976	002	0	1	04	01	H9976_002_0	17	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
H9986	001	0	1	01	01	H9986_001_0	6	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9986	002	0	1	01	01	H9986_002_0	6	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9986	003	0	1	01	01	H9986_003_0	6	2								1	11	20	20	20	20	2	2				2							1	2																																							
H9998	001	0	1	20	08	H9998_001_0	1																																																																			
H9998	002	0	1	20	08	H9998_002_0	1																																																																			
R0110	001	0	1	31	11	R0110_001_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
R0110	003	0	1	31	11	R0110_003_0	9	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
R0110	801	0	1	31	11	R0110_801_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
R0110	802	0	1	31	11	R0110_802_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
R0759	001	0	1	31	11	R0759_001_0	4	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
R0759	002	0	1	31	11	R0759_002_0	4	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
R0759	003	0	1	31	11	R0759_003_0	4	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	60	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
R0865	001	0	1	31	11	R0865_001_0	8	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	1	1	2	1				1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
R0865	003	0	1	31	11	R0865_003_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
R0865	801	0	1	31	11	R0865_801_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
R0865	802	0	1	31	11	R0865_802_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
R0923	001	0	1	31	11	R0923_001_0	12	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
R0923	002	0	1	31	11	R0923_002_0	18	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
R0923	801	0	1	31	11	R0923_801_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
R0923	802	0	1	31	11	R0923_802_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
R1390	001	0	1	31	11	R1390_001_0	5	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
R1390	002	0	1	31	11	R1390_002_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
R1390	003	0	1	31	11	R1390_003_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	1	1	2	2	24	3		1			101010	Car, wheelchair access vehicle											2				2				2			2		1	0.00	0.00	1	2
R1390	801	0	1	31	11	R1390_801_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
R1390	802	0	1	31	11	R1390_802_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
R1532	001	0	1	31	11	R1532_001_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
R1532	002	0	1	31	11	R1532_002_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
R1532	801	0	1	31	11	R1532_801_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
R1532	802	0	1	31	11	R1532_802_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
R2604	001	0	1	31	11	R2604_001_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
R2604	002	0	1	31	11	R2604_002_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
R2604	003	0	1	31	11	R2604_003_0	5	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	1	1	2	2	36	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
R2604	005	0	1	31	11	R2604_005_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
R3175	003	0	1	31	11	R3175_003_0	4	2								1	11	20	20	20	20	2	2				2							1	2																																							
R3332	001	0	1	31	11	R3332_001_0	9	2								2							2				1	11	155.00	155.00	155.00	155.00	2	1	2																																							
R3392	001	0	1	31	11	R3392_001_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
R3392	002	0	1	31	11	R3392_002_0	9	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
R3392	004	0	1	31	11	R3392_004_0	9	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
R3392	801	0	1	31	11	R3392_801_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
R3392	802	0	1	31	11	R3392_802_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
R3444	008	0	1	31	11	R3444_008_0	6	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	72	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
R3444	009	0	1	31	11	R3444_009_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
R3444	012	0	1	31	11	R3444_012_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
R3887	001	0	1	31	11	R3887_001_0	7	2								2							2				1	11	250.00	250.00	250.00	250.00	2	1	2																																							
R3887	002	0	1	31	11	R3887_002_0	6	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
R3887	801	0	1	31	11	R3887_801_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
R3887	802	0	1	31	11	R3887_802_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
R4182	001	0	1	31	11	R4182_001_0	7	2								1	10			20	20	2	2				1	01	265.00	265.00			2	1	2																																							
R4182	003	0	1	31	11	R4182_003_0	8	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
R4182	004	0	1	31	11	R4182_004_0	8	2								1	10			20	20	2	2				1	01	265.00	265.00			2	1	2																																							
R4182	801	0	1	31	11	R4182_801_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
R4182	802	0	1	31	11	R4182_802_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
R4487	001	0	1	31	11	R4487_001_0	12	2								2							2				1	11	295.00	295.00	295.00	295.00	2	1	2																																							
R4845	001	0	1	31	11	R4845_001_0	6	2								2							2				1	11	280.00	280.00	280.00	280.00	2	1	2																																							
R4845	002	0	1	31	11	R4845_002_0	5	2								2							2				1	11	265.00	265.00	265.00	265.00	2	1	2																																							
R4845	801	0	1	31	11	R4845_801_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
R4845	802	0	1	31	11	R4845_802_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
R5329	001	0	1	31	11	R5329_001_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
R5342	001	0	1	31	11	R5342_001_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
R5342	002	0	1	31	11	R5342_002_0	6	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
R5342	005	0	1	31	11	R5342_005_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
R5342	006	0	1	31	11	R5342_006_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
R5361	001	0	1	31	11	R5361_001_0	7	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
R5361	002	0	1	31	11	R5361_002_0	5	2								1	11	20	20	20	20	2	2				2							1	2																																							
R5361	801	0	1	31	11	R5361_801_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
R5361	802	0	1	31	11	R5361_802_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
R5495	001	0	1	31	11	R5495_001_0	7	2								2							2				1	11	270.00	270.00	270.00	270.00	2	1	2																																							
R5495	002	0	1	31	11	R5495_002_0	7	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
R5495	801	0	1	31	11	R5495_801_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
R5495	802	0	1	31	11	R5495_802_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
R5826	005	0	1	31	11	R5826_005_0	7	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	2																																							
R5826	018	0	1	31	11	R5826_018_0	6	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	2																																							
R5826	074	0	1	31	11	R5826_074_0	6	2								1	10			20	20	2	2				1	01	240.00	240.00			2	1	2																																							
R5826	805	0	1	31	11	R5826_805_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
R5826	819	0	1	31	11	R5826_819_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
R5941	013	0	1	31	11	R5941_013_0	7	2								2							2				1	11	275.00	275.00	275.00	275.00	2	1	2																																							
R5941	014	0	1	31	11	R5941_014_0	8	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	2																																							
R6694	003	0	1	31	11	R6694_003_0	8	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	2																																							
R6694	005	0	1	31	11	R6694_005_0	7	2								2							2				1	11	150.00	150.00	150.00	150.00	2	1	2																																							
R6694	006	0	1	31	11	R6694_006_0	9	2								2							2				1	11	300.00	300.00	300.00	300.00	2	1	2																																							
R6801	008	0	1	31	11	R6801_008_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
R6801	009	0	1	31	11	R6801_009_0	5	2								2							2				1	11	290.00	290.00	290.00	290.00	2	1	1	1	2	2	24	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
R6801	011	0	1	31	11	R6801_011_0	5	2								1	11	20	20	20	20	2	2				2							1	1	1	2	2	12	3		1			000010												2				2				2			2		1	0.00	0.00	2	2
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R7220	001	0	1	31	11	R7220_001_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
R7220	002	0	1	31	11	R7220_002_0	4	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
R7220	801	0	1	31	11	R7220_801_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
R7220	802	0	1	31	11	R7220_802_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
R7315	001	0	1	31	11	R7315_001_0	8	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
R7315	002	0	1	31	11	R7315_002_0	6	2								1	10			20	20	2	2				1	01	300.00	300.00			2	1	2																																							
R7315	801	0	1	31	11	R7315_801_0	3	2								1	11	20	20	20	20	2	2				2							1	2																																							
R7315	802	0	1	31	11	R7315_802_0	2	2								1	11	20	20	20	20	2	2				2							1	2																																							
R7444	001	0	1	31	11	R7444_001_0	6	2								2							2				1	11	260.00	260.00	260.00	260.00	2	1	2																																							
