I have used these people for 15 to 20 years , and it seems in the last 3 to 4 years the price has gone up to the point where a visit is a house note . The last two times we have had our dog there we have paid 700$ plus and ended up at the med vet because they would not follow up after their treatment did not resolve the issue . We will no longer use this vet , we will move on to another vet in hopes of better treatment !