I realize if you're only paying $20 for a pedicure, you won't get the same service and attention as you would at a full spa. At Artistic Nails however, I also am not sure about how clean and sterile they are. They gave me a nick when cutting my toenails and then they "shaved" the bottoms of my feet, which I've always understood should not be done for hygiene purposes. Although my toenails looked great, I don't think it was worth risking an infection. There are other local nail salons who are comparable in price and are more health-conscious.