In my opinion this is type of veterinary service that seems to try to tack excessive services to simple exams or procedures to inflate the bottom line. When presented the remedy (estimate) the staff will attempt to justify the excessive charges as "standard practice" to make it seem like all veterinary services operate in this fashion. Just as any service you can decline the offerings and take your business elsewhere, just as I did. With their estimate in hand the same unresolved issues, I visited other professional veterinary services (multiple) in the area in an attempt to price shop and compare the quality of services to help out additional pet owners. My results are as follows: - In general this establishment is priced about 68% above the the completion. - Excessive unneeded add-ons result in a 20% higher bill rate. - General surgery is priced 70% above competitors. - Comprehensive medical exams (office visit) are priced 30% above other veterinary services in the area. - This establishment was less helpful/informative then the competition. - The staff was just as friendly and personable as the rest of the competition. - Cleanliness of the office was on par with the rest of the veterinary offices. Do yourself and your checking account a favor, pass on this one.