I love this Visual Studio Extension.  Wanted to keep it in the blog so I do not forget.  Chris also wrote a notepad++ plug-in for the same thing.  Kudos.

http://visualstudiogallery.msdn.microsoft.com/7179e851-a263-44b7-a177-1d31e33c84fd

Align by... (Dialog) Ctrl + Shift + =
Align by position... (Dialog) Ctrl + =, Ctrl + backspace
Align by Equals Ctrl + =, Ctrl + =
Align by m_ Ctrl + =, Ctrl + m
Align by " Ctrl + =, Ctrl + '
Align by . Ctrl + =, Ctrl + .
Align by Space Ctrl + =, Ctrl + Space