Things are pretty bad in Ontario, and Bell and Rogers are completely to blame. But get outside Ontario, and things are significantly better in many places.
Here in Victoria, BC, I'm running 100/30Mb through Shaw for fairly reasonable rates (on its own it's about $85/mo, but as we're on a bundle with digital HDTV service we pay less than that -- unfortunately, they don't break it out for the sake of comparison...
I think the fact that you consider $85/month for 100/30 a reasonable rate goes to show how big a piece of BS that report is. Here's a counter example: I pay ~$10/month for 100/100, no caps.
To be honest that is actually below average, fiber goes for ~$30 before discounts are added here in Tokyo. And while I have no personal experience outside of the city limits, my in-laws, who live on the outskirts of a town of ~20k far removed from the industrial centers, recently installed fiber because "it's only a little extra on the phone bill and came with a free tablet".