The Ameda Elite is a gentle, quiet pump that ranges from very slow and very gentle to super fast and high pressure vacuum. Set the exact speed and pressure for your optimal comfort. Pump comfort is the biggest factor in how much milk you make. A deposit fee is also charged. This deposit reserves your pump and is returned after you return the pump. The “Kit” of flanges, bottles and tubing is additional. If you are currently pumping, you may be able to use your current kit.