| In-house marketer | $45,000–$60,000 | Fully dedicated to you, in-house and on call. | A full salary plus benefits, and you still manage them. One person, no real system, and they walk with everything they learned. |
| SEO / website agency | $10,000+ build, then $18,000–$60,000 | Builds a polished, modern website from the ground up. | Locks you into a contract, chases broad national keywords, treats you as a small account, and the ongoing content is thin. |
| Freelance writer | $8,400+ | The cheapest way to get articles written. | Just articles. No SEO, no local pages, no posting, no strategy, no local ranking. |
| Practice First SEO | $5,000 setup + from $9,000/yr flat | We extend what you already have and go further: local pages that pull traffic on day one, weekly content, local SEO, all done for you, at a flat rate you can budget to the dollar. | We do not build a brand-new website from scratch like the website shops. If you want a full rebuild, that is not us. |