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	Product	Price	Quantity	Subtotal
	Estrogen, Fractionated	$199.99	1	$199.99	✕
	Basic Hormone Panel	$199.99	1	$199.99	✕
	Bilirubin, direct	$29.99	1	$29.99	✕
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Subtotal	$429.97
Total	$429.97