I go to a chiropractor, love the guy, been going for 10 years due to an accident. I met him when he was just starting his practice.
Now he's getting bigger. I took my daughter in to see him, she's a nurse.
First you meet his receptionist and exchange information then she shows her the office and tells you how things work. Then you get an xray and some other exam with a hand held wand of some sort. end of visit did not see the doctor $35.
Next visit watch a tape, results of exam make a new appointment. Results of exam are a sales pitch for lifetime chiro...$35 no doctor.
Setup 1 hour appointment to meet the doctor and go over all the test results..$$$
Can you imagin going to a dentist for an appointment and he says my receptionist is going to charge you for orientation and xrays and I'll see you on your third appointment.

Like I said the guy is a great doctor, I didn't go through any of that hocus pocus or I probably would have left.
But on one of is chiropractic seminars they told him this is how to increase business, I told him he's probably chasing more away because he acts like a quack.