I took my puppy in for a spay. The cost was $126.00 with a nail trim,a cone,and two different pain meds. The pain meds were a lifesaver! She had a rough week afterwards and I was grateful for them . The price quoted at 3 other vets was $250 to $ 365.00. Huge price difference, not any difference in care. They were great!!! I also got shots and boosters for 1/3 the price of vet's,with a quickie checkup. I think they were about $21.00. Definitely worth drive from Summerlin.