UK Rep for Redsail
Typically you would use a table that lowers because you know you are going to engrave objects that are high. Cutting is not normally a concern when engraving objects 'tall' or 'wide' objects.
You don't need an adjusting table if you intend to cut or engrave flat substrates, each machine is supplied with a focusing plate, which is just a rectangular piece of acrylic that the laser head (which can be moved up and down) to drop onto the plate after placing on top if the material. This gives the correct height adjustment for focus.