Hello @pozwex . As a long time patient of Mayo, I want to recommend that their care is priceless in comparison to local doctors. We have found Mayo costs most reasonable over the years. Sharing your information via video visit is a perfect idea and worth any expense. I also have head and neck cancer ( for over 11 years) and see a wonderful oncologist there, Dr. Katharine Price. We drive 10 hours from Ohio to Rochester,Minnesota and it is worth every minute spent traveling. Best of luck to you. You have a battle ahead, but stay strong and positive to get you through.