The progress of a society may be judged by the way in which it disposes of its human waste material, and thus by the quality of its sewerage system (Mumford 1961, chap. 8). In the ancient world, the Greeks and Romans put great emphasis upon town planning. Roman cities were famed for their sewers, drains, aqueducts, paved streets, and roads. Domestic plumbing ranged from marble bathrooms with under-floor heating and indoor toilets in upmarket villas to basic latrine provision for the Roman army, as found, for example, alongside Hadrian’s Wall in northern Britain (Greed 2003). Following the decline of the Roman Empire, waste disposal returned to more primitive methods. Most ordinary people used an outdoor “privy,” while nobles often had an “indoor” toilet built out from the wall of their castle, hanging over the moat. In the Christian West during the Middle Ages, indoor plumbing, or for that matter personal hygiene and privacy, were not highly esteemed marks of civilization or progress, although washing and bathing, and bathhouses, were given higher priority in the Muslim East (Bonneville 1997).
I think it is rather rude and a bit dishonest for people to not divulge their total fees upfront, an of course we should know to ask. But the normal person wouldn't know the questions to ask until they are burnt once like this, and then there still could be costs for walking up stairs or charge another service call if they need to go somewhere to use the bathroom and come back. THAT ISN'T A QUESTION I WOULD THINK TO ASK.
Compartmentalization of production was marked by separate metal-manufacture companies specializing in lead piping, plumbing fixtures, and other nonporcelain components. Nowadays, international toilet companies such as Armitage Shanks, Ideal Standard, and Geberit have diversified to offer a wide range of toilet technologies and materials. Synthetic materials now predominate; piping is made of plastic and the “porcelain” is more likely to be polymer. Old and widely used lead piping has been condemned as a potential cause of poisoning. (Plumbing gets its name from plomb, the medieval word for lead, as plumbers were essentially lead workers.)
It does help in regards to procedures and rules in order to better understand your options.  Obviously cost is always an issue and the size of the company probably determine the labor cost.  That is why some times people take chances with "others' hoping that there have good experience but because they are independent operators there pricing might be more flexible.

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