The staff is rude, condescending unprofessional thieves. Their prices get higher if you question something they do (like not telling you how much your co-pay is until after the exam and you're scheduling your next appointment) or inform them that they are being rude when they interrupt you based on incorrect assumptions that they have. They don't contact your insurance company or check the details of your plan before your appointments, they instead tell you how much you owe them when your appointment is over and you're leaving.