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Lab Appliances & Services Pricing Great Lakes Orthodontics, Ltd. 200 Cooper Avenue Tonawanda, NY 14150 800-828-7626 - USA & Canada 716-871-1161- Worldwide www.greatlakesortho.com Please note that the final price of your appliance may change from the list price based on options, upgrades, and any additional services required. All prices are subject to change. Great Lakes is not responsible for pricing errors or omissions. If you have any questions about pricing, please contact our Laboratory Customer Service Department at: 800.828.7626 (U.S. & Canada) or 716.871.1161 (Worldwide). Smart Moves / Aligners Smart Moves smart moves classic 119.15 2 Setups (4 Trays) 238.30 3 Setups (6 Trays) 357.45 Transfer Tray (If Needed) 14.80 Attachments (Buttons) - Each (If Needed) 3.25 Smart Moves Replacement Tray (1) 59.55 Digital Photo for Setup Approval 5.75 If sending intraoral scans, model printing is required: 6 mm Base Scan - Add or Cut 3.70 Work Model Scan - Add Base or Cut 3.70 Bite Printed 8.15 Aligners 3x3 Spring Aligner 45.35 Spring Aligner (4x4) 55.00 Spring Aligner w/wire Extensions (3x3) 73.70 Spring Aligner w/wire Extensions (4x4) 81.75 Upper Modified Spring Aligner (3x3) 84.10 Upper Modified Spring Aligner (4x4) 93.55 Lower Modified Spring Aligner (3x3) 86.15 Lower Modified Spring Aligner (4x4) 89.35 Great Lakes Orthodontics Lab Pricing Page 1 of 8

Pour - 1 Arch 5.45 Duplicate & Pour - 1 Arch 12.95 Hinge Articulation 6.75 Base Added 3.05 Band or Bracket Carving - Per Arch or Tooth Removal 6.15 Reset Tooth (1) 7.00 Bloore Removable Aligner 143.05 Ball or Arrow Clasp (1) 5.90 Laser Weld (Each Joint) 3.55 Bowman Consolidator 228.60 Bowman Consolidator - Upper 213.05 Consolidator - Upper 183.55 Consolidator - Lower 183.15 Hinge Articulation 7.10 Reset - Per Tooth 7.35 Inman Fixed Spring Aligner 167.55 Reset Tooth - (1) 7.35 Doctor's Band or Crown Fitted 6.20 Band & Adaption - (1) 13.55 Solder Joint or Spot Weld (Ea.) 1.80 Laser Weld - Each Joint 3.55 Great Lakes Orthodontics Lab Pricing Page 2 of 8

Colored Cold Cure Acrylic - (1) Arch 4.85 Inman Spring Aligner 189.80 Lower Inman Aligner 197.55 Invisible Inman Aligner 133.50 Upper Expansion Inman Aligner 202.40 Lower Expansion Inman Aligner 214.70 Hinge Articulation 7.10 Reset Tooth (1) 7.35 Anterior Bite Plate 11.75 Posterior Bite Block 17.40 Modified Spring Aligner 84.10 Hinge Articulation 7.10 Reset Tooth (1) 7.35 Ball or Arrow Clasp (1) 5.90 Colored Cold Cure Acrylic - 1 Arch 4.85 Super Spring Aligner 106.10 Hinge Articulation 7.10 Reset Tooth (1) 7.35 Ball or Arrow Clasp (1) 5.90 Great Lakes Orthodontics Lab Pricing Page 3 of 8

Elastodontics Diagnostic Setup 104.65 Bracket Preparation 2.50 Work Model Scan - Add Base or Cut 3.70 Work Model with Palate and Lingual Anatomy - Arch 20.40 Work Model with Palate and Lingual Anatomy - Set 34.70 Elasto-Aligner 306.05 Note: Elasto-Aligner Includes Setup 300.05 Diagnostic Setup Only 104.65 Auxiliaries: Mandibular Stabilizer - Red or Blue 16.95 Pour - 1 Arch 5.885 Color and/or Glitter Silicon - Each 15.80 Colors Available: Clear (Standard), Yellow, Blue, Red, Green Elasto-Aligner: Inner & Outer Bow 389.95 Note: Elasto-Aligner Includes Setup 306.05 Diagnostic Setup Only 104.65 Great Lakes Orthodontics Lab Pricing Page 4 of 8

Auxiliaries: Mandibular Stabilizer - Red or Blue 16.95 Band or Bracket Carving - Per Arch or Tooth Removal 6.35 Color and/or Glitter Silicon - Each 15.80 Colors Available: Clear (Standard), Yellow, Blue, Red, Green Elasto-Aligner: Inner Bow Only 368.20 Note: Elasto-Aligner Includes Setup 306.05 Diagnostic Setup Only 104.65 Auxiliaries: Mandibular Stabilizer - Red or Blue 16.95 Color and/or Glitter Silicon - Each 15.80 Colors Available: Clear (Standard), Yellow, Blue, Red, Green Elasto-Aligner: Over Brackets 312.15 Note: Elasto-Aligner Includes Setup 306.05 Diagnostic Setup Only 10465 Auxiliaries: Great Lakes Orthodontics Lab Pricing Page 5 of 8

Mandibular Stabilizer - Red or Blue 16.95 Color and/or Glitter Silicon - Each 15.80 Colors Available: Clear (Standard), Yellow, Blue, Red, Green Positioners Custom Positioners 182.10 Positioner Including Setup 182.10 Positioner - No Setup 111.15 Diagnostic Setup Only 104.65 Colors Available: Clear (Standard), Red, Orange, Blue,Yellow, Green, Purple or Multi-Colored Arches Band/Bracket Carving (Per Arch) 6.25 Positioner Clasps - Pair 13.656 Rotation Insert - Each 3.00 Diagnostic Setup 104.65 Great Lakes Orthodontics Lab Pricing Page 6 of 8

Articulation (Regular Plate) - 1 Arch 10.20 Great Lakes Orthodontics Lab Pricing Page 7 of 8

Great Lakes Orthodontics Lab Pricing Page 8 of 8