I have WK&T and have symmetrical gigabit w/ 24/7 chat support in a town with a population of 300 in TN. Spectacular service, but I did sit on a waiting list and pay $1000 for installation. My bill has gone down over time (WK&T is a co-op.)

I have only ever had issues for a period of 2 months during peak times when my traffic was being routed through another ISP that I would always get ~0.2% packet loss from. WK&T helped me identify some routes that were unaffected to set up a tunnel to work around it for the few times I was affected.