The following is a detailed list of expected charges for the listed services, scheduled for the listed dates. You may need more than one treatment. We are unable to anticipate the length of care as all people progress at different rates. This estimate is accurate within +/- $400 of the actual cost of the care for one visit. The provider may recommend additional items or services as part of the treatment that are not reflected in the estimate. These would need to be scheduled separately. The information provided in the Good Faith Estimate is only an estimate, as actual items, services, or charges may differ. The client has the right to engage in a dispute resolution process if the actual costs of services significantly exceed those listed in the Good Faith Estimate. The Good Faith Estimate does not obligate or require the client to obtain any of the listed services from the provider. The estimated costs are valid for 12 months from the date of the Good Faith Estimate.