If you want to make organic shapes/changes, find a free download of Sculptris and also download MeshLab (also free).
Scan the object in (I have and recommend a NextEngine as well). Save the file as STL. Open in MeshLab and save as OBJ. Open in Sculptris and modify the file as you wish. Save as OBJ. Open in Meshlab and save as STL. Open in STL compatible CAM package (I use BobCAD) and make the tooling paths.
If you want to reverse engineer "CAD"/technical shapes, it will be MUCH more difficult. In that case, get RapidWorks with the Scanner, and learn to use it to use the scan data to rebuild in a full CAD model. That CAD model can then be opened in the CAM package of your choice to generate code.
CAD, CAM, Scanning, Modelling, Machining and more. http://www.mcpii.com/3dservices.html