I've gone to another vet with my other dog, thinking that this one, who we like a lot and have used for years, was getting a little expensive. It seemed like they were always recommending lots of expensive tests and procedures, while we prefer to take a more conservative approach to spending money on our pets. But now I believe that they are really trying to work with us on the charges, as they didn't charge us for the exam and nail trim, just the vaccinations. I may be bringing my other dog back here also.