This is currently the only certification approved to run ads on Facebook, Google, etc. The prices are astronomical, and it seems ridiculous when you take into account the approvals and certifications clinics and physicians go through. You essentially pay a huge price for this certification just to pay more to run ads! If this was a government-backed or approved verification system it may be reasonable. But this is a private company that has found a way to profit big from the health care business. There's nothing extra that even qualifies them to take on the role of certifier.