Modern pcbs cannot be compared to garage shop pcbs. No one in a garage is going to be making me blind/buried/stacked micro vias, controlled impedance traces, exotic substrates etc. there are a handful of proto shops in the USA that can do it but the vast vast majority is in china. For large scale pcbs needed for consumer electronics I’m not sure any domestic supplier could meet the demand. I don’t know the situation in EU but it’s probably similar. Don’t even get me started on flex pcb vendors…