Given the relatively low wages of many sonographers, the proposed fee increase from $470 to $643 is especially burdensome. Sonographers already face financial constraints, and this 37% rise in registration fees adds to their challenges without a corresponding increase in wages or benefits. A sharp hike in fees could disproportionately impact those at the lower end of the pay scale, making it harder for them to manage costs, which could lead to dissatisfaction or even discourage professionals from maintaining their registration. A more reasonable, gradual fee increase would be a fairer approach.