I've used Pebble Maryland for several years now for my three cats, including a Siamese and Sphinx. Sadly I had to have the Siamese euthanized at 18 years of age due to CKD. My Sphinx was diagnosed with HCG and passed away at my home in her favorite spot. The staff here knew me and my girls where and were very empathetic. Dr. V cried with me when I had to have my Siamese put down and Dr. Hines helped me when I brought my Sphinx in. I find they are reasonably priced and very transparent with any testing fees. I like that they make a treatment recommendation then show you all the costs prior to starting the treatment so there are no surprises. They also work with you to not over-treat your pet. I'll be getting my new Siamese soon and will be returning to Pebble Maryland Animal Hospital.