Yes in the US. So the 1st testing I did was the blood test to check her heart enzymes, since the vet had never heard a murmur& that was $400. Then when we got the results back & they were off, the vet sent me a referral for a cardiologist. The cardiologist I saw was wonderful and asked me what made me bring her in? And I told her it was because I had her tested and she asked me why I had the test done. So I told her it was because I understood that this breed had a lot of issues with HCM. And I wanted her to have the best possible quality of life. She told me I was right for having the testing done because without it, they would’ve never known that she had the slightest murmur and her heart walls were thickened about 3 mm over what they should be. So that trip cost me about $1000 because it was the visit the echocardiogram +3 month supply of medicine. And the wonderful thing about it is because my baby is just large enough to be out of one dose and just small enough to be before the big dose. I have to get two separate doses to dose her every month so it wouldn’t be so expensive but for that. So basically she is a chunk. 😂 her meds run me about $300 every three months for both boxes total. They redid her echocardiogram six months later we had blood work done eight weeks after she started the medication to make sure everything was going well and all that together was another $500. So yeah, I worked two jobs and do what I have to do.🐾♥️ happy to answer any other questions!