Separate immigration preparation from any applicable professional-practice process.
Identify which expense answers which requirement
Confirm the actual licence or degree evidence, any required reliable foreign-credential evaluation and current official fees. Investigate destination practice requirements without assuming that a Canadian licence or TN approval automatically resolves them. Avoid buying courses before identifying the real credential gap.
The immigration column contains the petition fee if the hospital files, premium processing if it wants a decision quickly, and the charge collected at the border for an application made in person; Form G-1055 is the only reliable figure, since amounts are revised periodically. The recurring components are advice on whether the change is material, preparation of the new agreement and support letter, and either a further presentation at a port of entry or an employer petition, with charges confirmed against the current published schedule. The expense nobody plans for is the second attempt: a refusal recorded because a letter leaned on experience for a degree-only profession is answered for in every later application, and reopening it costs far more than the first review would have.