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You get them from the phone company, but it is pretty cost prohibitive. A grand or so to set it up, and better part of a grand per month.
There are other options than the phone company, but you have the pricing about right. The actual price depends on the specific provider and the distance they'll have to run the line.
$1000-$1500 is what I've seen the average setup cost, and I've seen monthly prices ranging from $600-$1100.
My former office had TW business internet service and it wasn't bad. The download speed was about the same as you get at home (we're getting as much as 6meg at home). The upload speed depended on how much you paid. I don't remember what our bill was, but we had an mid range account and they "gave" us 1500k upload. That was pretty good for most things.
If up time is critical, there used to be a device called an "on ramp" that would allow you to connect your network to more than one service. It was highly recommended for people who were day trading stocks and commodities, etc. The idea was that you could have, say, both cable internet and FIOS connected and the system would use both, automatically switching back and forth based on availability and the odds of both being out at the same time were pretty slim. I don't know if they're still available or how much they cost, but it would still be cheaper (and faster) than T1 or T3.
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