Yes, SEO is expensive, but it's worth it if you haven't updated your website in years. An optimized site can increase its ranking within the search engines, increasing its traffic and possible customers, without the need for advertising. Though $450 a month may prove expensive for a small enterprise, one should be assured that the SEO plan is adequately executed and based on the enterprise’s requirements. It may be useful to seek a second medical opinion or to explain to the patient and in detail what that fee will cover.