US trained Board certified and equivalency in Canada

I am confused regarding the path to have US boards (internal medicine and subspecialty in internal medicine boards) recognized in Canada. I emailed the royal college of physicians and the email they sent does not make sense; they asked for an exorbitant amount of fees to "assess" my training in the US. What is the difference between this step and the LMCC path (which needed the medical council of Canada to verify my residency and fellowship and medical degree?). I dont get it. If i am dual...

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