It took a phone call and 3 follow up emails but I finally for to the bottom of the extra $200 fee. Just like a few posters pointed out, it's a complete add-on and you're not required to pay it.
They bring up the fee immediately and remind you of the $200 that needs to be paid but I finally found out it's to have the consultation on the same day as the procedure since Alberta Health only covers one visit perday and for their "premium services".
So, I'm passing on the extra stuff and making a separate consultation trip beforehand, will keep my $200. Kinda underhanded how they don't pose it and offer it as an add on, I have a friend who paid and thought it was mandatory.
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