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Why do some veterinary hospitals charge such different prices for the same procedure(s)?

Each year the College of Veterinarians of British Columbia (CVBC) and the Canadian Veterinary Medical Association (CVMA) publish a recommended industry fee guide based on region. The CVBC was created to serve the interests of the public and animals through the regulation and advancement of the veterinary profession in BC. Their mandate is to create, promote and enforce a high standard of qualification, conduct and competence by practitioners of veterinary medicine.