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Here we have a product which is discountable, however there are 2 additional options that aren't discounted.
As the customer checks the box, the value in the dropdown is passed with the option to the cart automatically.
The prices are:
Up to 100 - $9.99, 100 - 200 are $8.99 and 200 plus are $6.99.

Quantity of product: 
Add Color for $0.10 each 
Add Insert for $0.12 each