Narrator uses all voices which are available from Mac OS X by default. But there is more...
There is a whole bunch of English and American voices at Cepstral. The trial period is not time-limited; It never expires. However, a voice will interject reminder messages into the audio output until you purchase a valid license key for it. Each single voice has a price of 29.95 USD at Cepstral. [State: 2010-11-30]
Cepstral voices: Try | Download | Buy

The acapela Group
offers Infovox iVox which enhances the voices for Mac OS X at a high quality. (These voices can be used in Narrator and other voice supporting applications.)
These voices are distributed by AssistiveWare who have also developed the alternate product GhostReader which you can get here, too. There is a whole bunch of English and American voices available. The bundle price is 99 EUR for a whole voices package. [State: 2010-11-30]
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