<human>: Summarize the given text in a few sentences.

In my experience (and the experience of everyone I know) a price quote for a spay or neuter at a "regular" or primary care vet the price is usually $400 - $700.

My vet (who I just love) quoted me around $530 to castrate a healthy, 1 year old male dog. This includes anethesia, blood work and all the extras.

A local spay/neuter clinic charges $100 - $150 for the same procedure including blood work and pain meds. 

Is there an increased RISK for someone to take their pet to the less expensive clinic? Is there more benefit to the expensive clinic?

I am guessing part of the price difference goes in to "specialty" and the fact that spay/neuter clinics don't do much else so they can afford to be less expensive. Or potentially less focused on "profit" as a general hospital?

Then there is the worry that the care won't be as good or that the anesthesiologists are somehow less skilled or less concerned? 

I know this varies place to place but in a general sense are you safer spending the extra money to go to a vet you know and have a relationship with or going to a spay/neuter clinic for significantly less money?
<bot>: Is there any real difference in a spay/neuter performed by a local vet for three (or more) times the price of a spay/neuter clinic?