We take all three of our pets to Sacajawea Vet Clinic. Everyone is always incredibly kind to the animals and us. Our old dog is cranky and they are always patient with her. Regarding costs, our dog was recently perscribed some meds. They were a bit pricey and the staff there volunteered the info that we could probably get them for less at a couple of different places. We have never felt pressured into having procedures done that we just couldn't afford. And there's never been any 'guilt tripping' associated with our decisions.