VoIPstudio is very cost effective, feature rich, and reliable. Since moving the business to it, we've not had any issues. The flexibility is great, and easily configurable. Not a decision I regret at all, especially coming from a previous VoIP system that was fairly unreliable. Support are also very responsive. So, all round, very good indeed.
We have been using Voipstudio now for 5 or so years. Its an excellent VOIP provider. Well-priced, excellent support who can be reached by phone, and tons of features. Easy to setup too once you get the hang.