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	Product	Price	Quantity	Subtotal
×	Estradiol	$61.00	Estradiol quantity	$61.00
×	Vitamin D 25-Hydroxy	$35.00	Vitamin D 25-Hydroxy quantity	$35.00

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Subtotal $96.00

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Subtotal	$96.00
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Total	$96.00

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Total $96.00