Daily Outages, traceroute shows many lost packets, who is at fault?

Hello all,

For the last 2-3 weeks i've had horrible outages on my internet service.  I pay for 200 down/10 up and I will get that a fair amount of the time.  However, about 4-5 times a day my connection slows to a crawl and i eventually lose all connection.  It will be horribly spotty connection for several minutes.  Tonight, however, it's been lasting for about 45 minutes now, which is why I'm making this post.

I play a lot of games and I'll randomly spike to 800+ ms in game.  When it happens i run a traceroute and notice packet losses at multiple points throughout the test.  I don't know what the issue is.  I always use an ethernet cable connected directly to the modem.  

any ideas?