I have had an awful time trying to get information from Dr Cardenas. He was my original pic for my ffs, but over a month has gone by, and I still have not received a quote. Another doctor from his office was communicating with me, but only general information. I kept getting the "I'm not sure why no one has gotten back with you with a quote" emails. Sorry, but attention to detail has to be high on my list while dealing with the face. I've seen his work, but the communication, at least for me, has been awful.
As far as pricing goes, you have to remember the exchange rate as well.. in some countries, like Peru, where it looks like I'm going (Femilife), the US dollar is about two and a half times more than local currency. So their rate is the same for their country as it is for ours, it just costs less in American dollars. It's all relative.