A small number of states, including Colorado, have very few regulations for laser tattoo removal. Anyone can operate the laser as long as there is an off-site medical director. In Missouri there are no requirements for either supervision or training of laser operators. Many states are becoming more strict about the qualifications of people doing laser treatments, and this directly affects price. New Jersey only allows doctors to use a laser. California restricts the use of lasers to doctors, nurses and physicians assistants. Learn more here: https://masterpieceskinrestoration.com/laser-tattoo-removal/