about 500k for visx, 350k for intralase click fees higher for custom I think about 260 an eye and like 150 non per eye, intralase about 250 for both eyes, rough estimates. I think to support intralase they say 40 cases a month. I think that's on the low end, it depends on market rate. It seems that would just pay expenses and you are working for free. If you have multiple surgeons it's easier to get then required number. also depends on advertising budget etc. Remember service plans which will be about 100k a year combined for these things. Cheaper if you get allegretto laser for click fees, and if you get nidek no click fee.