Its expensive...pretty straight forward...to have these new machines and cutting edge technology...but on the flip side usually once installed and once they use the medical technology it can actually in the end cut the cost because it makes for better care of the patients so better outcomes ,less morbidity,fewer lawsuits,quicker care,this of course is if it is used correctly by experienced personnel.This is on of the reasons we need more people to go into the health professions today and learn these new technologies and keep up .Something President Clinton used to talk about all the time .It is imperative we stay ahead of our machines!!!