You will find in places where dog breeding is prevalent they have vets that specialize in litters from breeders. They will check each pup, do shots, and give a health certificate for 50 bucks. Health testing isn't alot if you are in the loop.Do those others do the health testing and titling though? Anyone can throw two dogs together.
Last dog I remember my parents buying was a cocker spaniel with like 18 champions in the recent pedigree and a bunch of certifications but those pups still sold for 250 vs the 750 a show person would demand