|-
!rowspan="3" align=center|{{{1}}}
|style="white-space:nowrap; background:#005b77;"|150
|style="white-space:nowrap; background:#005b77;"|{{{2}}}
|-style="white-space:nowrap; background:#757700;"
|style="white-space:nowrap;"|
200
|{{{3}}}
|-style="white-space:nowrap; background:#580063;"
|style="white-space:nowrap;"|
250
|{{{4}}}