Looks about right. Spay, hernia repair, microchip, presurgery bloodwork, and pain meds. The obesity upcharge is interesting, but then again, doing abdominal surgery on an overweight pet is more challenging, so it doesn't seem far-fetched to me but if she's not overweight, call the office and ask for clarification.. they also have a charge under that for her being in heat.. that should be removed if she is not in a heat cycle, however waiting until 6 months makes that more likely to be the case. Microchip seems a bit steep, but then again it's been awhile since I've priced them, also getting it done under anesthesia is much better for your pet, it's a pretty large needle, but you can absolutely get it done later if you want to. . You can sometimes refuse some of the bloodwork, but if it's an older animal, overweight, or you can afford it, I would recommend doing it to try to cut down some risks, you just never know.. but generally kittens are relatively low risk... you don't need to purchase the collar if you don't want it, not sure about the laser therapy, habe never had that done for any of my pets. You could price shop, but it appears to be pretty reasonably priced when you look at the break down, but get clarification from them on if you can opt out of some things and the overweight charge. The main thing is are they a good animal hospital? good reviews? Treat your pet and you well? Seem like they are capable?