The fees are high, it's true. As someone who's self-employed, though, I charge what some might consider a high fee if it were a regular salary, but it's not. There is risk involved in hiring out by the hour. That said, I think mh professionals charge a lot even when part of a clinic, but in that case some of it is going to overhead and billing.

Regardless, I think pretty much everything costs too much these days, relative to what an average person is trying to get by on.