Many of the hard costs in veterinary medicine are exactly the same as human doctors. Rent is rent, stitches are stitches. Most of the supply chain is the same. So when they open a bag of saline, put in a line, gown up, open a pack of sutures, etc. those costs are exactly the same as a human doctor. Their ultrasound machine comes from the same factory as the one one at your obgyn. Equipping a surgical suite is an expensive thing.