Product Quantity Subtotal  
Differentials

3,000.00

× 3,000.00
3,000.00
Direct Coombs Test

7,800.00

× 7,800.00
7,800.00
Insulin Level

25,000.00

× 25,000.00
25,000.00
Breast Ultrasound

30,000.00

× 30,000.00
30,000.00
DNA Test x2

290,800.00

× 290,800.00
290,800.00
D-Dimer

20,000.00

× 20,000.00
20,000.00

Cart totals

Subtotal 376,600.00
Total 376,600.00