From the Align unit manufacturers point of view making only a 110V model is easiest but it does complicate things somewhat in countries that have other mains voltages.
I know some machines have a built in 110V supply for the control gear (nowadays more likely to be 24V) but would that supply be rated high enough to drive the feed motor I wonder.
Using a site transformer (55-0-55) to drive a feed motor is overkill in terms of weight, bulk, wattage and cost. If the Align unit is intended to be connected to a mains supply then isolation should not be needed and a much smaller autotransformer will do the job.
I have never examined one of these units and dont even know what colour wires are in the power lead or whether it come fitted with a moulded on plug, The cable though (to me) looks out of place on a large milling machine compared to the usual heavy duty cable or conduit.
Ian P