Effective 2/1/17. SC1 Service Call PER Visit $76.00

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1 PSI VT Verify & Test Anesthetic Machine Components $74.00 VOT Verify Vaporizer Output $42.00 PT Pressure Test Machine & Vaporizer $32.00 Total PER Machine $ SC1 Service Call PER Visit $76.00 PSI MEMBER VAD Anesthetic Machines VAD-Variflow VAD Variflow w/post & base (includes set-up & demo) $ 2, VAD-Variflow TT VAD Variflow TableTop or Wall Mount (includes set-up & demo) $ 2, VAD-Elite II VAD Elite II w/post & base (includes set-up & demo) $ 2, VAD-Elite TT VAD Elite II TableTop (includes set-up & demo) $ 2, VAD-Elite WM VAD Elite II Wall Mount (includes set-up & demo) $ 2, VAD Variflex VAD Variflex Machine w/post & base $ 2, VAD-Variflex TT VAD Variflex TableTop or Wall Mount $ 2, VAD-1000-B VAD 1000 Oxygen Yoke $ VAD-1000-PB VAD Post & Base $ VAD-1000 Circuit VAD 1000 Breathing Circuit $ 1, VAD-MGX Research Machine w/double Flowmeters $ 3, VAD-Compact Compact Anes. Machine $ 1, VAD-Compact II Compact Anes. Machine $ 1, VAD-MGX-MRI-A MGX-MRI Unit w/3 flowmeters & vaporizer $ 3, VAD-MGX-MRI-B MGX-MRI Unit w/2 flowmeters & vaporizer $ 3, CDC-V Dust Cover (Variflow & Elite) $ CDC-CE Dust Cover (Compact) $ VAD-5164T1 Wall Mount Arm $ VAD-5164PLATE Wall Mount Arm Plate $ VAD2001-I-FC Tec 3 Isoflurane Vaporizer Funnel Cagemount $ 1, VAD2001-S-FC Tec 3 Sevoflurane Vaporizer Funnel Cagemount $ 1, Quick Straps $ 4.68 Oxygen Generating Systems OG-20 OG-20 Oxygen Generator $2, OGS-20 OGS-20 Oxygen Generator $6,660.00

2 Breathing Circuits " Pediatric Y Breathing Tube 15 mm diameter $ " Pediatric Y Breathing Tube 15 mm diameter $ " Adult Y Breathing Tube 22 mm diameter $ Pediatric Universal Circuit 40" $ " Universal Circuit $ " Universal Circuit $ 8.45 SS SafeSigh Non-Rebreathing System $ SS SafeSigh Gauge & Adapter $ Expandable Breathing Circuit 72" $ DP Breathing Tube w/22 mm Inserts 36" $ Y Tube Connectors for 36" Breathing Tubes $ Breathing Bags AP.5 liter Black Breathing Bag $ AP 1 liter Black Breathing Bag $ AP 2 liter Black Breathing Bag $ AP 3 liter Black Breathing Bag $ AP 4 liter Black Breathing Bag $ AP 5 liter Black Breathing Bag $ AP 15 liter Black Breathing Bag Matrx Black Bag $ P liter Black Breathing Bag Matrx Black Bag $ liter Disposable Breathing Bag blue $ liter Disposable Breathing Bag blue $ liter Disposable Breathing Bag blue $ liter Disposable Breathing Bag blue $ liter Latex Free Disposable Breathing Bag green $ liter Latex Free Disposable Breathing Bag green $ liter Latex Free Disposable Breathing Bag green $ liter Latex Free Disposable Breathing Bag green $ 4.25 Disposable Misc. Fittings 6114 Mask Elbow $ Adapter 15 mm ID x 22 mm OD $ 4.25 KC-2119 Adapter 15 mm OD x 22 mm OD $ Fresh Gas Straight Adapter $ Treach Tube Adapter 15 mm x 6 mm $ GSP Mask Elbow w/fresh gas port $ Adapter 22 mm ID x 19 mm OD $ "Y" Connector (pediatric, clear) $ Straight Connector (metal) 8 mm $ Curved 90 Connector (metal) 15 mm x 6 mm $ Curved 90 Connector (metal) 15 mm x 8 mm $ Adapter (15 mm ID both ends) 15 mm ID x 22 mm OD $ Fresh Gas Coupling $ 6.80 KC-5 Reducing Adapter w/leur Lock Port 15 mm OD x 15mm ID/22 mm OD $ Tubing Adapter (for King System) 22mm OD x 22mm ID $ Adapter 22mm ID x 15mm OD $ 1.91

3 Masks & Diaphragms Small Feline Mask 1 ¾ h $ Small Feline Replacement Diaphragm 2" $ Medium Feline Mask 2 h $ Medium Feline Replacement Diaphragm 2 1/4" $ Large Feline Mask 2 ¼ h $ Large Feline Replacement Diaphragm 2 1/2" $ Small Canine Mask $ Small Canine Replacement Diaphragm 3 1/2" $ Large Canine Mask $ Large Canine Replacement Diaphragm 5 1/4" $ Extra-Large Canine Mask $ Tracheal Tubes mm Tracheal Tube $ mm Tracheal Tube $ mm Tracheal Tube $ mm Tracheal Tube $ mm Tracheal Tube $ mm Tracheal Tube $ mm Tracheal Tube $ mm Tracheal Tube $ mm Tracheal Tube $ mm Tracheal Tube $ mm Tracheal Tube $ mm Tracheal Tube $ mm Tracheal Tube $ mm Tracheal Tube $ mm Tracheal Tube $ mm Tracheal Tube $ mm Tracheal Tube $ mm Tracheal Tube $ mm Tracheal Tube $ mm Tracheal Tube $ F Esophageal Stethoscope $ F Esophageal Stethoscope $ F Esophageal Stethoscope $ F Esophageal Stethoscope $ 4.89 J157Z One Way Valve for Endotrach Tube $ 1.91 RM-166 Breathe Safe Respiratory Monitor $

4 Waste Gas Supplies 1815 Scavenger Hose 15 mm $ Scavenger Hose 19 mm $ Scavenger Hose 22 mm $ VaporGuard Charcoal Filter $ F-Air Canister $ F-Air Canister Holder $ F-Air Canister Kit canister, holder, , 4' $ H-10-3 Halogenated Waste Gas Monitoring Badge $ H-8530 Monitoring Badge for Nitrous Oxide $ Anti-Spil Adapter (Iso) $ Anti-Spil Adapter (Sevo) $ F Vapofil Adapter for pin fill (Iso) $ S Vapofil Adapter for pin fill (Sevo) $ J301 Single Station Gas Vak Unit $ J302 Multi-Station Gas Vak Unit $ 1, J302W Multi-Station Gas Vak Unit (wall mount valves) $ 1, J302D1 Gas Vak Atmospheric Equalizer $ J302D2 Balancing Valve $ J302D2W Wall Mount Balancing Valve $ J553 Soda Lime 3 lb. bag $ Check Valve $ 1.70 Vaporizers & Parts VAD2001-I-FC Tec 3 Isoflurane Vaporizer $ 1, VAD2001-S-FC Tec 3 Sevoflurane Vaporizer $ 1, T4 Tec 4 Vaporizer $ AB Used Vaporizers $

5 Oxygen System Parts Ohio Oxygen Rough-In Box $ Ohio DISS Finish Plate (ceiling) $ Ohio Quick Connect Finish Plate (wall) $ Surface Mount Rough-In Box for Oxygen 3/8" $ Ohio Oxygen QC Face Plate (Surface Mount) $ Exposed Gas Outlet Kit $ Vacuum Rough-In Box $ Vacuum DISS Finish Plate $ MQ 201 Ohio Male Oxygen QC w/1/8" NPT male $ MQ 2011 Ohio Male Oxygen Quick Connect $ OR 2011 Ohio Female Oxygen Quick Connect $ MQ 2021 Ohio Male Air Quick Connect $ OR 2041 Ohio Female Vacuum $ MQ 2041 Ohio Male Vacuum $ MQ 1011 Chemtron Male Oxygen Quick Connect $ OR 1011 Chemtron Female Oxygen Quick Connect $ MQ 1021 Chemtron Male Air $ OR 1021 Chemtron Female Air $ MQ 1041 Chemtron Male Vacuum $ OR 1041 Chemtron Female Vacuum $ MQ 3611 Chemetron Male Evacuation $ OR 3654 Chemetron Female Evacuation $ MQ 2031 Nitrous Oxide Male Quick Connect $ OR 2031 Nitrous Oxide Female Quick Connect $ MQ 3011 Oxequip Male Oxygen Fitting x 1/4" NPT male $ MQ 4011 Puritan Bennett Male Oxygen Quick Connect $ MQ 4041 Puritan Bennett Male Suction Quick Connect $ OR 4154 Puritan Bennett Female Check for Oxygen $ MQ 4611 Puritan Bennett Male Evacuation QC $ MQ 4021 Puritan Bennett Male Air QC $ Schrader Male Air Quick Connect $ Schrader Female Air Quick Connect $ Schrader Female Oxygen Quick Connect $ Schrader Female Oxygen w/diss male $ S Schrader Male Oxygen Quick Connect $ QDB105 Male Quick Connect (Mini) $ QDB101 Female Quick Connect (Mini) $ M00-70 Y-Block Assembly $ 12.54