Not always the case, sometimes it has to do with how big the facility is and how much it costs to run. I went back to my home town when we got our Vet to a much higher priced zip code to see our family vet for our dogs. She is amazing, but having talked to friends I find her prices to be on par and in some cases cheaper than the surrounding lower priced zip codes. She has a surgical clinic, but she spends her money on animal care not on the most shiny, amazing facility. During emergencies we've visited some of those clinics and the prices are reflective of the facility you visit. We paid premium prices because it was an emergency. However people I've spoken to who use the places for primary care also talk about the higher price for regular services. I'm just mentioning it isn't always the zip code, sometimes it is also the facility. I will say price has never been my first factor. Clearly I have to pay the bill so I'm not going to lie to myself and say I'll pay anything. However, I won't go cheap if I can't trust a vet and I won't pay more for a Vet I don't trust just because they have an association with a clinic or facility that seems to be in demand. We are truly blessed in this area that are multiple vets in many towns so for instance in my town there are 2 and in the town we choose to go to there are 2 more and in just the towns we touch I can't think of a town with less than 2. That gives us the benefit of finding a Vet we trust and the reality that the Vets have to compete on costs and services. Since there are so many vets in this area I do find it interesting what it is that draws people to "their" vet because people can be fiercly loyal and wonder why it is you don't use their vet. I always have the opt out that it is a family thing, but people can be really defensive about whom they visit and why. I'm always amazed. In our neighborhood alone, people travel to towns all around us to see vets for their animals. Everyone has a reason why that vet. I guess we are truly blessed that we have so many to choose from that we can spread out among them.