Code Name Premium Conversion No Premium Conversion

112 BCBS Service Benefit Plan $ 2,678.40 $ 2,008.83

262 HealthAmerica Pennsylvania $ 2,865.56 $ 1,942.86

2C2 Piedmont Community Healthcare $ 2,565.36 $ 1,924.01

2G2 CareFirst BlueChoice, Inc $ 2,899.19 $ 1,921.51

2U2 Aetna Open Access $ 3,467.08 $ 1,665.96

2X2 Aetna Open Access $ 2,812.61 $ 1,978.54

312 GEHA Benefit Plan $ 2,890.61 $ 1,926.86

322 NALC Health Benefit Plan $ 2,746.20 $ 2,027.28

342 GEHA Benefit Plan $ 2,448.01 $ 1,836.00

382 Rural Carrier Benefit Plan $ 2,714.59 $ 1,987.42

3A2 AultCare HMO $ 2,822.81 $ 1,971.43

402 Foreign Service Benefit Plan $ 2,659.14 $ 1,994.35

422 Compass Rose Health Plan $ 2,790.02 $ 1,994.60

432 Panama Canal Area Health Benefit Plan $ 2,396.43 $ 1,797.35

442 SAMBA Health Benefit Plan $ 3,103.37 $ 1,809.99

472 APWU Health Plan $ 2,690.07 $ 2,017.57

482 Mail Handlers Benefit Plan $ 2,689.37 $ 2,017.04

512 HIP of Greater New York $ 2,979.62 $ 1,874.13

522 Health Alliance Plan $ 2,944.68 $ 1,894.11

542 Group Health Cooperative $ 2,985.58 $ 1,870.81

572 Kaiser Foundation Health Plan of Northwest $ 2,938.68 $ 1,897.62

592 Kaiser Foundation Health Plan of Northern California $ 3,311.79 $ 1,720.74

5E2 Coventry of South FL $ 2,859.91 $ 1,946.55

622 Kaiser Foundation Health Plan of Southern California $ 2,749.16 $ 2,019.68

632 Kaiser Foundation Health Plan of Hawaii $ 2,734.40 $ 2,036.44

642 Kaiser Foundation Health Plan of Ohio $ 3,104.01 $ 1,809.68

652 Kaiser Foundation Health Plan of Colorado $ 2,969.02 $ 1,880.10

6N2 Humana CoverageFirst - Lexington $ 2,425.40 $ 1,819.06

6V2 GHI HMO Select $ 2,980.35 $ 1,873.73

752 Humana Health Plan Inc. $ 3,340.50 $ 1,709.95

762 Union Health Service $ 2,738.85 $ 2,029.07

802 Group Health Incorporated $ 3,307.98 $ 1,722.20

852 Triple-S $ 2,376.01 $ 1,782.01

872 HMSA Plan $ 2,462.04 $ 1,846.55

892 Triple-S $ 2,231.00 $ 1,673.24

8W2 UPMC Health Plan $ 2,946.00 $ 1,893.33

9F2 Humana Health Plan of Il. $ 3,600.56 $ 1,625.06

9G2 Blue Preferred Plus POS $ 3,109.58 $ 1,807.01

9H2 Coventry Health Care of Kansas, Inc $ 2,636.97 $ 1,977.73

9K2 Altius Health Plans $ 2,844.16 $ 1,956.97

9R2 Optima Health Plan $ 3,093.04 $ 1,814.98

A22 Blue Cross and Blue Shield of Illinois $ 3,128.75 $ 1,797.96

A52 Total HealthCare USA, Inc. $ 2,849.33 $ 1,932.58

A62 Humana Health Plan of Ohio $ 2,694.78 $ 2,021.09

A72 Health Net of Arizona, Inc. $ 3,171.29 $ 1,778.59

A92 HealthKeepers, Inc. $ 2,881.61 $ 1,932.55

AD2 Humana CoverageFirst - Atlanta $ 2,482.25 $ 1,861.68

AE2 Humana Health Plan of Louisiana (Baton Rouge) $ 2,762.80 $ 2,014.65

AU2 Sanford Health Plan $ 3,042.79 $ 1,840.18

B32 Anthem Blue Cross Select HMO $ 2,842.96 $ 1,957.77

B42 Calvo's SelectCare $ 2,658.94 $ 1,994.20

B62 CareFirst BlueChoice, Inc $ 2,710.01 $ 2,032.51

B72 FirstCare - Waco $ 2,688.35 $ 1,942.72

B92 United Healthcare of the Midwest $ 3,169.53 $ 1,779.38

Annual Imputed Income per Child for 2014: FEHB 
BC2 Humana Health Plan of Louisiana (New Orleans) $ 2,694.78 $ 2,021.09

BF2 Humana Health Plan of Arizona (Phoenix) $ 2,694.78 $ 2,021.09

BJ2 Coventry Health Care of Louisiana $ 2,886.56 $ 1,929.41

C32 Aetna Open Access $ 2,959.28 $ 1,885.65

C72 Humana Health Plan of Arizona (Tucson) $ 2,762.80 $ 2,014.65

C92 Sanford Health Plan North Dakota $ 2,918.40 $ 1,909.73

CB2 Humana Employers Health of Georgia, Inc. $ 2,762.80 $ 2,014.65

CK2 Firstcare $ 2,659.46 $ 1,955.55

CN2 FirstCare - Abilene $ 2,959.83 $ 1,854.54

CY2 UnitedHealthcare of California $ 2,955.02 $ 1,888.10

CZ2 FirstCare - Lubbock $ 2,917.96 $ 1,865.00

D92 Aetna ACO Carilion $ 2,735.42 $ 1,951.15

DG2 Humana Employers Health of Georgia, Inc. $ 2,762.80 $ 2,014.65

DH2 QualChoice $ 3,164.80 $ 1,781.49

DN2 Humana Employers Health of Georgia, Inc. $ 2,762.80 $ 2,014.65

DQ2 Physicians Health Plan of Northern Indiana $ 3,111.60 $ 1,806.05

E22 Humana Health Plan of Florida (Orlando) $ 2,626.73 $ 1,970.04

E32 Kaiser Foundation Health Plan Mid-Atlantic States $ 2,821.82 $ 1,972.15

EA2 Capital Health Plan $ 2,638.31 $ 1,978.75

EE2 Humana Medical Plan, Inc. $ 2,933.42 $ 1,900.74

EP2 Aetna Regional - Region A $ 2,885.63 $ 1,930.00

ES2 Aetna ACO Memorial Hermann $ 2,753.47 $ 1,965.36

ET2 FirstCare - Bryan-College Station $ 2,872.13 $ 1,877.59

EW2 Humana Health Plan of Texas (Houston) $ 2,694.78 $ 2,021.09

EX2 Humana Health Plan of Florida (Daytona) $ 2,694.78 $ 2,021.09

EY2 MercyCare HMO $ 2,852.35 $ 1,951.52

F52 Aetna Regional - Region B $ 2,794.60 $ 1,991.30

F72 Aetna ACO Aurora $ 2,557.56 $ 1,918.18

F82 Kaiser Foundation Health Plan of Georgia, Inc. $ 2,769.78 $ 2,009.43

FX2 Health Alliance HMO $ 3,076.54 $ 1,823.09

G52 Aetna Regional - Region C $ 2,928.20 $ 1,903.85

GA2 MVP Health Care $ 2,903.79 $ 1,918.66

GB2 Humana CoverageFirst - Central IL $ 2,539.12 $ 1,904.35

GF2 UnitedHealthcare Benefits of Texas, Inc. $ 3,194.90 $ 1,768.24

GJ2 Humana Health Plan, Inc. - Knoxville $ 2,762.80 $ 2,014.65

GV2 MVP Health Care $ 2,724.82 $ 1,996.26

GZ2 Coventry Health Care HDHP $ 2,523.25 $ 1,892.47

H42 Aetna Regional - Region D $ 2,792.58 $ 1,992.75

HA2 Coventry Health Care of Kansas, Inc $ 2,711.83 $ 2,026.15

HF2 Aetna Open Access $ 2,683.55 $ 1,955.29

HY2 Aetna Open Access $ 2,846.27 $ 1,930.94

IG2 Coventry Health Care $ 2,775.81 $ 2,004.97

IM2 Globalhealth, Inc. $ 2,567.33 $ 1,925.51

J42 Coventry of Florida $ 2,811.24 $ 1,970.52

J92 Aetna ACO Newport News $ 2,580.31 $ 1,935.24

JC2 Aetna Open Access $ 3,476.84 $ 1,662.79

JG2 Fallon Community Health Plan $ 3,187.87 $ 1,771.29

JK2 TakeCare $ 2,711.38 $ 1,982.28

JN2 Aetna Open Access $ 3,495.55 $ 1,656.80

JP2 M.D. IPA $ 2,903.70 $ 1,918.72

JR2 Aetna Open Access $ 3,666.86 $ 1,606.53

JS2 Aetna Regional - Region E $ 2,947.34 $ 1,892.55

K52 Bluecare Network of MI $ 2,934.19 $ 1,900.28

KC2 Kaiser Foundation Health Plan of Northern California $ 2,872.65 $ 1,938.28

KM2 NALC Health Benefit Plan $ 2,226.00 $ 1,669.52

KX2 TakeCare $ 2,118.85 $ 1,589.18

L12 KPS Health Plans $ 2,534.72 $ 1,901.04
LB2 Health Net of California $ 4,276.45 $ 1,476.26

LL2 Humana Medical Plan, Inc. $ 3,528.71 $ 1,646.43

LM2 Humana CoverageFirst - Macon $ 2,539.12 $ 1,904.35

LP2 Health Net of California $ 3,156.60 $ 1,785.18

LW2 Physician's Plus $ 2,922.79 $ 1,907.09

LX2 Bluecare Network of MI $ 2,893.81 $ 1,924.86

M92 MVP Health Care $ 2,918.42 $ 1,909.72

MF2 MVP Health Care $ 3,127.18 $ 1,798.70

MH2 Humana Health Plan, Inc. $ 2,762.80 $ 2,014.65

MI2 Humana Health Plan, Inc. $ 2,847.38 $ 1,954.82

MJ2 Humana CoverageFirst - Tampa $ 2,595.93 $ 1,946.97

ML2 Av-Med Health Plan $ 2,950.34 $ 1,890.81

MS2 Humana Health Plan, Inc. $ 3,850.10 $ 1,560.55

MW2 Humana CoverageFirst - Chicago $ 2,539.08 $ 1,904.35

MX2 MVP Health Care $ 2,957.52 $ 1,886.66

NM2 Health Plan of Nevada $ 2,361.85 $ 1,771.41

P22 Presbyterian Health Plan $ 2,974.70 $ 1,876.89

P32 Aetna Open Access $ 4,054.08 $ 1,516.84

PH2 Humana CoverageFirst - Kansas City $ 2,425.40 $ 1,819.06

Q12 Lovelace Health Plan $ 2,671.14 $ 2,003.36

QA2 Independent Health Assoc $ 2,953.16 $ 1,889.18

QP2 Humana CoverageFirst - South Florida $ 2,425.40 $ 1,819.06

RL2 Grand Valley Health Plan $ 3,014.89 $ 1,854.84

RU2 Sanford Heart of America Health Plan $ 2,830.18 $ 1,950.55

SF2 Select Health of Utah $ 2,844.25 $ 1,956.91

SG2 CDPHP Universal Benefits $ 3,079.58 $ 1,821.58

SI2 Blue Shield of California Access + HMO $ 2,835.22 $ 1,962.99

SV2 Coventry Health Care of Iowa, Inc $ 2,695.54 $ 2,021.68

TP2 Humana CoverageFirst - Corpus Christi $ 2,539.12 $ 1,904.35

TU2 Humana CoverageFirst - San Antonio $ 2,539.08 $ 1,904.35

TV2 Humana CoverageFirst - Austin $ 2,652.79 $ 1,989.60

U42 The Health Plan of the Upper Ohio Valley $ 3,023.99 $ 1,850.01

UB2 Aetna Open Access $ 3,129.89 $ 1,797.43

UC2 Humana Health Plan of Texas $ 2,811.06 $ 1,979.63

UR2 Humana Health Plan of Texas $ 3,675.41 $ 1,604.22

UU2 Humana Health Plan of Texas $ 3,011.92 $ 1,856.44

V32 HealthPartners $ 3,058.81 $ 1,831.98

VT2 KPS Health Plans $ 3,109.13 $ 1,807.23

WD2 Dean Health Plan $ 3,099.80 $ 1,811.70

WJ2 Group Health Cooperative of South Central Wisconsin $ 2,885.45 $ 1,930.12

WQ2 Aetna Open Access $ 3,283.80 $ 1,731.58

X42 GHI HMO Select $ 2,843.94 $ 1,955.64

X52 HealthPlus MI $ 2,853.53 $ 1,939.42

Y62 HealthAmerica Pennsylvania-HDHP $ 2,576.88 $ 1,932.68

YE2 Aetna Open Access $ 2,969.19 $ 1,880.00

YH2 UnitedHealthcare Plan of the River Valley $ 2,772.34 $ 2,002.96

ZJ2 Humana Health Plans of Puerto Rico, Inc. $ 2,163.34 $ 1,622.52

105 BCBS Service Benefit Plan $ 2,852.89 $ 1,951.16

225 Aetna HealthFund $ 2,493.91 $ 1,870.44

2G5 CareFirst BlueChoice, Inc $ 2,760.84 $ 2,016.13

315 GEHA Benefit Plan $ 2,387.65 $ 1,790.76

325 NALC Health Benefit Plan $ 2,358.98 $ 1,769.24

3A5 AultCare HMO $ 2,156.00 $ 1,617.03

415 Mail Handlers Benefit Plan $ 2,508.53 $ 1,881.43

445 SAMBA Health Benefit Plan $ 2,652.00 $ 1,988.99

455 Mail Handlers Benefit Plan $ 2,911.44 $ 1,913.97

475 APWU Health Plan $ 2,316.57 $ 1,737.43
515 HIP of Greater New York $ 2,694.07 $ 1,985.98

545 Group Health Cooperative $ 2,507.14 $ 1,880.37

575 Kaiser Foundation Health Plan of Northwest $ 2,699.81 $ 2,024.86

595 Kaiser Foundation Health Plan of Northern California $ 2,980.76 $ 1,873.49

5E5 Coventry of South FL $ 2,631.86 $ 1,973.88

625 Kaiser Foundation Health Plan of Southern California $ 2,265.33 $ 1,699.01

635 Kaiser Foundation Health Plan of Hawaii $ 2,106.76 $ 1,580.08

645 Kaiser Foundation Health Plan of Ohio $ 2,652.92 $ 1,989.73

655 Kaiser Foundation Health Plan of Colorado $ 2,333.30 $ 1,749.99

755 Humana Health Plan Inc. $ 2,762.80 $ 2,014.65

805 Group Health Incorporated $ 2,737.94 $ 2,030.84

8W5 UPMC Health Plan $ 2,572.12 $ 1,929.09

9K5 Altius Health Plans $ 2,172.87 $ 1,629.67

9R5 Optima Health Plan $ 2,499.25 $ 1,874.44

A65 Humana Health Plan of Ohio $ 2,565.51 $ 1,924.14

A75 Health Net of Arizona, Inc. $ 2,991.19 $ 1,867.71

A85 Scott & White Health Plan $ 2,772.03 $ 2,007.77

AB5 Humana Health Plan of Il. $ 2,762.80 $ 2,014.65

AD5 Humana CoverageFirst - Atlanta $ 2,353.40 $ 1,765.06

AE5 Humana Health Plan of Louisiana (Baton Rouge) $ 2,626.73 $ 1,970.04

AU5 Sanford Health Plan $ 2,982.17 $ 1,872.71

BC5 Humana Health Plan of Louisiana (New Orleans) $ 2,565.51 $ 1,924.14

BF5 Humana Health Plan of Arizona (Phoenix) $ 2,565.51 $ 1,924.14

BJ5 Coventry Health Care of Louisiana $ 2,654.05 $ 1,990.54

C55 Independent Health Assoc $ 2,848.24 $ 1,954.25

C75 Humana Health Plan of Arizona (Tucson) $ 2,626.73 $ 1,970.04

C95 Sanford Health Plan North Dakota $ 2,829.87 $ 1,964.20

CB5 Humana Employers Health of Georgia, Inc. $ 2,694.78 $ 2,021.09

CY5 UnitedHealthcare of California $ 2,649.00 $ 1,986.76

DG5 Humana Employers Health of Georgia, Inc. $ 2,626.73 $ 1,970.04

DH5 QualChoice $ 2,776.88 $ 2,004.18

DK5 Altius Health Plans $ 2,492.05 $ 1,869.05

DN5 Humana Employers Health of Georgia, Inc. $ 2,694.78 $ 2,021.09

E25 Humana Health Plan of Florida (Orlando) $ 2,504.26 $ 1,878.18

E35 Kaiser Foundation Health Plan Mid-Atlantic States $ 2,322.14 $ 1,741.60

EE5 Humana Medical Plan, Inc. $ 2,762.80 $ 2,014.65

EP5 Aetna Regional - Region A $ 2,601.81 $ 1,951.35

EW5 Humana Health Plan of Texas (Houston) $ 2,565.51 $ 1,924.14

EX5 Humana Health Plan of Florida (Daytona) $ 2,565.51 $ 1,924.14

F55 Aetna Regional - Region B $ 2,636.27 $ 1,977.21

F85 Kaiser Foundation Health Plan of Georgia, Inc. $ 2,355.85 $ 1,766.88

G55 Aetna Regional - Region C $ 2,613.95 $ 1,960.46

GA5 MVP Health Care $ 2,763.43 $ 1,980.72

GB5 Humana CoverageFirst - Central IL $ 2,353.40 $ 1,765.06

GG5 Geisinger Health Plan $ 2,819.32 $ 1,973.88

GJ5 Humana Health Plan, Inc. - Knoxville $ 2,565.51 $ 1,924.14

GV5 MVP Health Care $ 2,537.37 $ 1,903.03

GY5 Health Alliance Plan $ 2,867.51 $ 1,941.60

H45 Aetna Regional - Region D $ 2,639.46 $ 1,979.61

HA5 Coventry Health Care of Kansas, Inc $ 2,619.62 $ 1,964.75

IG5 Coventry Health Care $ 2,667.29 $ 2,000.49

JC5 Aetna Open Access $ 3,104.99 $ 1,809.21

JK5 TakeCare $ 2,479.91 $ 1,859.93

JN5 Aetna Open Access $ 2,712.59 $ 2,034.45

JR5 Aetna Open Access $ 3,238.12 $ 1,749.97

JS5 Aetna Regional - Region E $ 2,816.67 $ 1,975.72

K85 Health Alliance HMO $ 2,917.44 $ 1,910.32
L15 KPS Health Plans $ 2,345.65 $ 1,759.26

LB5 Health Net of California $ 4,131.22 $ 1,502.01

LL5 Humana Medical Plan, Inc. $ 2,762.78 $ 2,014.66

LM5 Humana CoverageFirst - Macon $ 2,353.40 $ 1,765.06

LP5 Health Net of California $ 3,068.98 $ 1,826.86

M95 MVP Health Care $ 2,796.38 $ 1,973.02

MF5 MVP Health Care $ 3,049.39 $ 1,836.78

MH5 Humana Health Plan, Inc. $ 2,694.78 $ 2,021.09

MI5 Humana Health Plan, Inc. $ 2,694.78 $ 2,021.09

MJ5 Humana CoverageFirst - Tampa $ 2,353.40 $ 1,765.06

ML5 Av-Med Health Plan $ 2,642.05 $ 1,981.54

MS5 Humana Health Plan, Inc. $ 2,762.80 $ 2,014.65

MW5 Humana CoverageFirst - Chicago $ 2,353.40 $ 1,765.06

MX5 MVP Health Care $ 2,790.85 $ 1,972.10

P35 Aetna Open Access $ 3,606.31 $ 1,623.41

PH5 Humana CoverageFirst - Kansas City $ 2,353.40 $ 1,765.06

QA5 Independent Health Assoc $ 2,401.99 $ 1,801.50

QP5 Humana CoverageFirst - South Florida $ 2,353.40 $ 1,765.06

RL5 Grand Valley Health Plan $ 2,905.57 $ 1,917.57

SF5 Select Health of Utah $ 2,562.44 $ 1,921.86

SG5 CDPHP Universal Benefits $ 2,677.65 $ 2,002.97

SV5 Coventry Health Care of Iowa, Inc $ 2,280.88 $ 1,710.68

SY5 Coventry Health Care of Iowa, Inc $ 2,351.35 $ 1,763.53

TP5 Humana CoverageFirst - Corpus Christi $ 2,353.40 $ 1,765.06

TU5 Humana CoverageFirst - San Antonio $ 2,353.40 $ 1,765.06

TV5 Humana CoverageFirst - Austin $ 2,353.40 $ 1,765.06

UC5 Humana Health Plan of Texas $ 2,694.80 $ 2,021.12

UR5 Humana Health Plan of Texas $ 2,694.80 $ 2,021.12

UU5 Humana Health Plan of Texas $ 2,762.80 $ 2,014.65

UW5 UPMC Health Plan $ 2,674.90 $ 2,006.18

V35 HealthPartners $ 2,250.72 $ 1,688.06
Enrollment Code

Annual Fair Market Value 

per Child (2014) - Imputed 

Income for Actives Plan Name

DAA1H $285.12 geha,reg1,high

DAA1S $168.38 geha,reg1,stnd

DAA2H $313.61 geha,reg2,high

DAA2S $184.95 geha,reg2,stnd

DAA3H $355.96 geha,reg3,high

DAA3S $210.03 geha,reg3,stnd

DAA4H $384.39 geha,reg4,high

DAA4S $226.74 geha,reg4,stnd

DAA5H $427.04 geha,reg5,high

DAA5S $251.81 geha,reg5,stnd

DAA0H $285.12 geha,intl,high

DAA0S $168.38 geha,intl,stnd

DAB1H $300.17 metlife,reg1,high

DAB1S $162.29 metlife,reg1,stnd

DAB2H $335.91 metlife,reg2,high

DAB2S $175.80 metlife,reg2,stnd

DAB3H $366.12 metlife,reg3,high

DAB3S $195.11 metlife,reg3,stnd

DAB4H $396.41 metlife,reg4,high

DAB4S $216.65 metlife,reg4,stnd

DAB5H $443.65 metlife,reg5,high

DAB5S $237.95 metlife,reg5,stnd

DAB0H $443.65 metlife,intl,high

DAB0S $237.95 metlife,intl,stnd

DAC1H $256.48 uc,reg1,high

DAC2H $288.05 uc,reg2,high

DAC3H $319.66 uc,reg3,high

DAC4H $351.30 uc,reg4,high

DAC5H $382.88 uc,reg5,high

DAC0H $382.88 uc,intl,high

DAD1H $240.79 aetna,reg1,high

DAD2H $265.17 aetna,reg2,high

DAD3H $282.25 aetna,reg3,high

DAD4H $311.41 aetna,reg4,high

DAD5H $338.16 aetna,reg5,high

DAD0H $265.17 aetna,intl,high

DAE1H $80.01 sss,reg1,high

DAF1H $185.05 cb,reg1,high

DAF2H $195.92 cb,reg2,high

DAF3H $212.30 cb,reg3,high

Annual Imputed Income per Child for 2014: FEDVIP 
DAF4H $257.60 cb,reg4,high

DAF5H $275.72 cb,reg5,high

DAG1H $341.15 ghi,reg1,high

VAH1H $77.94 bcbs,reg1,high

VAH1S $61.76 bcbs,reg1,stnd

VAJ1H $66.69 uhc,reg1,high

VAJ1S $47.34 uhc,reg1,stnd

VAK1H $102.78 vsp,reg1,high

VAK1S $59.69 vsp,reg1,stnd

DAL1H $305.40 fbd,reg1,high

DAL1S $175.61 fbd,reg1,stnd

DAL2H $347.56 fbd,reg2,high

DAL2S $199.78 fbd,reg2,stnd

DAL3H $385.18 fbd,reg3,high

DAL3S $221.32 fbd,reg3,stnd

DAL4H $406.91 fbd,reg4,high

DAL4S $233.47 fbd,reg4,stnd

DAL5H $450.01 fbd,reg5,high

DAL5S $258.19 fbd,reg5,stnd

DAL0H $450.01 fbd,intl,high

DAL0S $258.19 fbd,intl,stnd

DAM1H $311.94 dlt,reg1,high

DAM1S $162.85 dlt,reg1,stnd

DAM2H $342.15 dlt,reg2,high

DAM2S $177.48 dlt,reg2,stnd

DAM3H $375.27 dlt,reg3,high

DAM3S $191.40 dlt,reg3,stnd

DAM4H $399.28 dlt,reg4,high

DAM4S $201.78 dlt,reg4,stnd

DAM5H $464.45 dlt,reg5,high

DAM5S $230.67 dlt,reg5,stnd

DAM0H $464.45 dlt,intl,high

DAM0S $230.67 dlt,intl,stnd

DAN1H $190.31 dom,reg1,high

DAN1S $111.47 dom,reg1,stnd

DAN2H $197.28 dom,reg2,high

DAN2S $116.33 dom,reg2,stnd

DAN3H $207.37 dom,reg3,high

DAN3S $129.84 dom,reg3,stnd

DAN4H $241.37 dom,reg4,high

DAN4S $155.00 dom,reg4,stnd

DAN5H $283.60 dom,reg5,high

DAN5S $165.33 dom,reg5,stnd

VAP1H $97.21 avp,reg1,high

VAP1S $50.53 avp,reg1,stnd