When I had GRS, the exchange rate between US and CDN was very favorable. The 18k Brassard charges translated to a bit over 14K US at that time.
Brassard includes all the recovery costs (it's about 12 days total). That means full time nurses, staff, room, limo and close proximity to the surgical center should you need it.
Plus, if the weather is nice, you can walk across the street and stroll the park by the river. Google map 45.545835,-73.692888, choose satellite view and it will take you to the recovery house and the surgical center. It's pretty cool. From there you can "stroll the grounds". I spent a lot of time in the swings on the patio. You can see it if you go to street view. Lots of warm memories.
BTW, I'm not selling Brassard as a surgeon, for the same reasons I noted earlier. But the "known facts" are pretty compelling.