E-Processing Order Form

Quantity	Description	Price
	Sonora Quest/Labcorp Bloodwork Prep Fee	$100.00
	Labcorp Bloodwork Pre-Pay Fee
	SIBO Test	$300.00
	Urinary Indican	$30.00
	Leaky Gut	$320.00
	Comp GI Stool DNA Test w/ Zonulin	$464.00
	Comp GI Stool DNA Test w/o Zonulin	$413.00
	Advanced Intestinal Barrier Assessment	$424.00
	Food (170) Sensitivity Testing (Blood)	$460.00
	Comprehensive Hormone Panel	$285.00
	Neuro/Adrenal/Hormone/Melatonin	$489.00
	Adrenal Stress Test	$225.00
	Urine Halides	$225.00
	Organix	$374.00
	Blood Metals and Tri	$577.00
	Blood Metals Test	$287.00
	Estronex	$394.00
	Complete Lyme Panel	$643.00
	Co-Infection Panel	$643.00
	Mold Immunoreactivity Panel	$265.00
	GPL-TOX	$224.00
	MycoTOX	$374.00
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