Altium used to be known as Protel, and it was the cheap option back in the 90s.
I've not tried Altium's autoplacer, but its autorouter is crap. I bought into PADS in the 90s (it was better than Protel, but not as expensive as OrCAD PCB). It used Specctra and then their own Blaze router. Both were excellent. I can not believe how bad Altium's autorouter still is (it leaves your board full of drc errors including shorts).
It is difficult to convey how well auto-routers can work to people who are used to manually routing boards in Altium because of it's broken auto-router. Seriously you hit the auto-route button, and a few minutes later it's done. You do want to ensure you have good constraints, all of the work is there, and it's a good idea to have them even when manually routing. It's very feasible to move parts around and do trial full routes to help find the best placement.
PADS did have an autoplacer, but it did not work very well as I remember.
