I would personally recommend using a CPM. THe ones I know are all great...price should comparable between the CPMs. It's definitely not a competition for clients....there are lots of mamas out there who want their services. If you want an assisted homebirth, a mw with whom you click is worth every penny-----and then some. We took out some debt to pay for our second birth. So, so, so worth it. I only wish I'd known better with my first.