Well, I now work in a Vets in the UK. They do not carry out any treatment that isn't necessary as they value the clientelle.

Here in the UK puppies have 2 vaccinations, the first at around 8 weeks old the second one is two weeks later. The cost being around £75

They then have an annual booster which usually equates to around £60.

Vets are like any other business whereby if you shop around you can get the service cheaper.