"The challenge is to achieve high performance at reasonable cost."

Further, other types of insurance can usually achieve the same result at far less cost.

But for many, success and survival are achieved at great personal cost.

Achieved at little cost, it was believed a significant success.

As always, decision-makers should consider whether alternative programs could achieve the same policy objectives at lower cost.

This will have been achieved at modest cost with, it seems likely, triumphant results.

A state university can achieve the same at considerably less cost.

They believe that if improvements are needed, these might be achieved at much less cost.

The weaker American fleet had achieved the goal at heavy cost.

Other types of insurance can usually achieve the same result at far less cost, consumer groups say.